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JOHN P JOHNSON PA-C NPI 1821084047


NPI Information

NPI: 1821084047
Provider Name: JOHN P JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4376 7TH ST
MOLINE, IL
ZIP 61265
Phone: (309) 762-0777
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John P Johnson, PA-C is a medical physician assistant in Moline, IL. John P Johnson, PA-C NPI is 1821084047. 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:

4376 7TH ST
MOLINE, IL
ZIP 61265-867
Phone: (309) 762-0777

The NPI 1821084047 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), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 3/8/2012.


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
1363AM0700XPhysician AssistantMedical085002074ILLINOISYes

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
1141942MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE UGS
2242060OTHERILLINOISMIDLAND'S CHOICE
3Q02637OTHERUPIN
4200715015MEDICARE PINILLINOIS
5421060724OTHERIOWABILLING TAX ID FOR CHC
693251OTHERIOWAIA BC/BS SEEN IN MOLINE
7K11519MEDICARE ID-TYPE UNSPECIFIEDILLINOISILLINOIS MEDICARE PART B
8090218OTHERHEALTH ALLIANCE
9IL01A3OTHERILLINOISJOHN DEERE EDI#
1093263OTHERIOWAIA BC/BS SEEN IN RI
11385000978OTHERILLINOISCONTROLLED SUBSTANCE#
12421060724A3OTHERILLINOISJOHN DEERE HEALTH

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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