Gary Andrew Johanson in Santa Rosa - Hospice And Palliative Medicine
Gary Andrew Johanson - NPI 1215043229
Gary Andrew Johanson is a Hospice And Palliative Medicine in Santa Rosa, California. Gary Andrew Johanson practices all healthcare services and medical treatments related to Hospice And Palliative Medicine. The NPI Number for Gary Andrew Johanson is 1215043229. The last update date is 2021-11-03.
Gary Andrew Johanson's current location address is 500 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075738984 and fax number 7075730982. The mailing address for Gary Andrew Johanson is 500 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Andrew Johanson |
|---|---|
| Address | 500 Doyle Park Dr, Santa Rosa, California |
| Phone Number | 7075738984 |
| Fax Number | 7075730982 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215043229 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2021-11-03 |
Provider Mailing Address Detail
| Address | 500 Doyle Park Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054558 |
| Phone Number | 7075738984 |
| Fax Number | 7075730982 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice And Palliative Medicine |
|---|---|
| Taxonomy | 207Qh0002X |
| Licence No | G32438 |
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Definition: A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680479679 | CA | TAX ID | |
| 33-0185031 | CA | TAX ID# AS OF 9/1/2010 |
Post Comment/ Review Below
What is the unique identifier code issued to Gary Andrew Johanson by the Centers for Medicare & Medicaid Services (CMS)?
The Gary Andrew Johanson has been assigned the NPI (National Provider Identifier) 1215043229. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Gary Andrew Johanson is physically located?
The Gary Andrew Johanson is physically situated at the following address: 500 Doyle Park Dr, Santa Rosa, CA, 954054558.
What is Gary Andrew Johanson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Andrew Johanson is Hospice And Palliative Medicine, and the taxonomy code that categorizes this field of expertise is 207Qh0002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215043229 to Gary Andrew Johanson?
The Centers for Medicare & Medicaid Services originally issued the 1215043229 to Gary Andrew Johanson on 2006-08-22.
As of what date was the information pertaining to Gary Andrew Johanson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Andrew Johanson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-03.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY