DOUGLAS J JOHNSON (NPI# 1982671855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982671855 |
| Entity Type | Individual |
| Full Name | DOUGLAS J JOHNSON |
| Credential | M.D. |
| Practice Address |
1777 Ashley Cir Bowling Green KY 42104-3339 |
| Practice Telephone | 2707814090 |
| Practice Fax Number | 2708423133 |
| Mailing Telephone | 2707814090 |
| Mailing Fax Number | 2708423133 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 29380 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 29380 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 50002852 | 05 | |
| KY | ANTHEM BC & BS | 000000259189 | 01 |
| KY | 64293806 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
| 1447571260 | Douglas Earl Johnson Sr. | Counselor | 334 Old Thomas Rd, Watha, NC 28478-9538 | 2010-06-16 |
| 1558528505 | Douglas D. Johnson | Dentist | 1310 Tara Hills Dr Ste G, Pinole, CA 94564-2533 | 2008-05-19 |
| 1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
| 1356556880 | Douglas M Johnson | Dentist | 2380 14th Ave Se, Albany, OR 97322-6800 | 2007-05-10 |
| 1205950052 | Douglas Scott Johnson | Chiropractor | 3365 N. Academy Blvd., Colorado Springs, CO 80917 | 2007-03-19 |
| 1225163843 | Douglas Harold Johnson | Dentist | 275 Pendleton Way, Washougal, WA 98671-4203 | 2007-02-22 |
| 1033255328 | Douglas Arthur Johnson | Speech-Language Pathologist | 500 North Navajo, Box 1927, Page, AZ 86040 | 2007-01-30 |
| 1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
| 1417055971 | Douglas R Johnson | Counselor | 1750 Pine Ave, Niagara Falls, NY 14301-2232 | 2006-09-20 |
| Street Address |
1777 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258413 | James Ovid Jarvis | Internal Medicine | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2005-07-13 |
| 1780054452 | Melodye Gail Campbell | Nurse Practitioner | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2015-10-06 |
| 1265828404 | Michael Hall | Family Medicine | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2015-04-14 |
| 1306164637 | Jessica Rapp | Family Medicine | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2010-05-11 |
| 1750544003 | Michael Wayne Carby | Contractor | 1777 Ashley Cir, Physical Therapy Department, Bowling Green, KY 42104-3339 | 2008-07-08 |
| 1306010681 | Western Kentucky Orthopaedic Associates Occupational Therapy | Occupational Therapist | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2008-04-17 |
| 1952575235 | Western Kentucky Orthopaedic Associates Physical Therapy | Physical Therapist | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2008-04-17 |
| 1477726909 | Western Kentucky Orthopaedic Associates Rehabilitation Department | Physical Therapist | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2008-04-04 |
| 1902018914 | Sarah Leigh Richman | Specialist/Technologist | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2007-05-03 |
| 1083779748 | Bradford Kenneth Lear | Physical Therapist | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2006-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1992180772 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave Ste B3, Bowling Green, KY 42101-1790 | 2015-07-22 |
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1063696003 | John C Tapp Md | Family Medicine | 414 Old Morgantown Rd, Bowling Green, KY 42101-2842 | 2007-12-27 |
| 1467650101 | Jennifer Imara Hayes-bethel | Family Medicine | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2007-07-03 |
| 1740407667 | Mcmd, Psc | Family Medicine | 1340 Ellis Place, Bowling Green, KY 42104 | 2007-04-20 |
| 1407972862 | E J Kuebeck Md Inc | Family Medicine | 1052 W Wooster St, Bowling Green, OH 43402 | 2007-03-21 |
| 1659419737 | Kevin D Dew | Family Medicine | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2007-02-02 |
| 1003994013 | William E Feeman Jr. | Family Medicine | 640 S Wintergarden Rd, Bowling Green, OH 43402-3544 | 2006-11-01 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.