Tammi Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50002506 Issued in OH

Practice address

20050 Harvard Ave
Warrensville Heights, OH 44122

Phone

(216) 751-1212

Fax

(216) 991-4587

NPI assigned

Oct 31, 2006

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tammi Johnson-Bowers Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rajesh Agarwal MD, LLCGroup PAC ID 8224000153, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eliza Jennings at Home Home health agency, Olmsted Township, OH, CCN 368264

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rajesh Agarwal MD, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Mayfield Heights, OH
  • NPI 1942422035
  Medicare reassignment Care Compare group
• Emergency Professionals of Ohio, Inc.

  • Nurse Practitioner
  • Athens, OH
  • NPI 1750313854

  Physician Assistant

  NPD (past)
• Emergency Services of Central Ohio LLC

  • Emergency Medicine Physician
  • Barberton, OH
  • NPI 1427322726
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeast Ohio Home Care

  dba Eliza at Home

  • Home Health Agency
  • Olmsted TWP, OH
  • NPI 1467655944
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1528144458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE STE 300",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226800",
            "telephone_number": "216-751-1212",
            "fax_number": "216-991-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-751-1212",
            "fax_number": "216-991-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-746-7211",
            "fax_number": "330-656-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMI",
            "last_name": "JOHNSON-BOWERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherita Johnson
• Dominique Johnson
• Jamie Johnson
• Laprise Johnson, QMHS
• Lawanda Yvette Johnson, LPN
• Yvonne Joiner
• Kelvin Jones
• Lakeisha S Jones
• Lorenzo Jones
• Samantha J Jones, L.M.T

• Physician Assistant in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.