KEVIN JOHNSON (NPI# 1982651204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982651204 |
| Entity Type | Individual |
| Full Name | KEVIN JOHNSON |
| Credential | MD |
| Practice Address |
12303 De Paul Dr Bridgeton MO 63044-2512 |
| Mailing Address |
1836 Lackland Hill Pkwy Attn: Credentialing Office Saint Louis MO 63146-3572 |
| Practice Telephone | 3143446000 |
| Practice Fax Number | 3143446840 |
| Mailing Telephone | 3149890300 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R7E11 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1346536463 | Kevin Charles Johnson | Pharmacist | 747 Highway 259 North, Kilgore, TX 75662-5175 | 2011-06-27 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559183 | M Kyle Sila | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-09-20 |
| 1528674371 | Victoria Wannemuehler | Dietitian, Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-09-17 |
| 1598389389 | Kayla Christine Deblauw | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-08 |
| 1659995876 | Rekha Narayanan Kouri | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-03 |
| 1255965422 | Kayla Michele Richter | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-26 |
| 1932731296 | Danielle Moses | Pharmacist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-05 |
| 1689205304 | Alexandra Wege | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-31 |
| 1063052918 | Timothy J Guernsey | Nurse Anesthetist, Certified Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-08 |
| 1982241923 | Catherine Nagus | Social Worker | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-12-10 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558334227 | Richard A Summa | Internal Medicine | 12255 De Paul Dr Ste 500, Bridgeton, MO 63044-2515 | 2006-02-10 |
| 1376598599 | Ssm Health Care St. Louis | Internal Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365707 | Telemedico Physicians of Missouri | Internal Medicine | 9191 N Ambassador Dr, Kansas City, MO 64154-7247 | 2018-08-09 |
| 1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
| 1598011694 | Mohannad Naheid I Abu Omar | Internal Medicine | 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 | 2012-07-26 |
| 1922381615 | Critical Care Pulmonary & Sleep Medicine Assoc LLC | Internal Medicine | 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 | 2011-09-20 |
| 1851671689 | Mid-mo Lung Associates, LLC | Internal Medicine | 1801 Brookfield Mnr, Columbia, MO 65203-6246 | 2011-08-24 |
| 1245535459 | Midwest Acute Care Consultants, PC | Internal Medicine | 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 | 2011-01-19 |
| 1699083451 | Hamza Alshami | Internal Medicine | 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 | 2010-09-15 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1841448198 | Pulmonary Critical Care and Sleep Medicine, LLC | Internal Medicine | 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 | 2008-08-28 |
| 1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.