DR. JUSTIN THEO JOHNSON D.P.M. NPI 1336328624

NPI Information

NPI: 1336328624
Provider Name: DR. JUSTIN THEO JOHNSON, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1661 HIGHWAY 99 N
STE 201
ASHLAND, OR
ZIP 97520
Phone: (541) 482-4924
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DR. Justin Theo Johnson, D.P.M. is a foot and ankle surgery podiatrist in Ashland, OR with 19 years of experience. DR. Justin Theo Johnson, D.P.M. NPI is 1336328624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1661 HIGHWAY 99 N
STE 201
ASHLAND, OR
ZIP 97520-900
Phone: (541) 482-4924
Fax: (541) 488-1732

The NPI 1336328624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/2/2007 and was last updated on 1/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	DPOO440	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1336328624	OTHER	OREGON	NPI
2	DP00440	OTHER	OREGON	STATE MEDICAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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