Philip James Johnson in Ft Wayne - Family Medicine
Philip James Johnson - NPI 1306975263
Philip James Johnson is a Family Medicine in Ft Wayne, Indiana. Philip James Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Philip James Johnson is 1306975263. The last update date is 2008-01-31.
Philip James Johnson's current location address is 2418 Lake Ave, Ft Wayne, Indiana. You can contact this provider via phone number 2604224757 and fax number 2604228375. The mailing address for Philip James Johnson is 2418 Lake Ave, Ft Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip James Johnson |
|---|---|
| Address | 2418 Lake Ave, Ft Wayne, Indiana |
| Phone Number | 2604224757 |
| Fax Number | 2604228375 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306975263 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 2418 Lake Ave |
|---|---|
| City | Ft Wayne |
| State | Indiana (IN) |
| Post Code | 46805 |
| Phone Number | 2604224757 |
| Fax Number | 2604228375 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1023461 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83093 | IN | PIN BCBS | |
| 4062678 | IN | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Philip James Johnson by the Centers for Medicare & Medicaid Services?
The Philip James Johnson has been assigned the NPI (National Provider Identifier) 1306975263 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Philip James Johnson's facilities are geographically located?
The facilities of Philip James Johnson are physically situated at the following location: 2418 Lake Ave, Ft Wayne, IN, 46805.
What is the Philip James Johnson's area of specialization and corresponding taxonomy classification?
The Philip James Johnson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1306975263 to Philip James Johnson?
The Philip James Johnson received its 1306975263 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information related to Philip James Johnson most recently updated or refreshed?
The details pertaining to the Philip James Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-31.