Jesse Wayne Johnson in Lake Mary - Internal Medicine
Jesse Wayne Johnson - NPI 1245344571
Jesse Wayne Johnson is a Internal Medicine in Lake Mary, Florida. Jesse Wayne Johnson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jesse Wayne Johnson is 1245344571. The last update date is 2015-03-30.
Jesse Wayne Johnson's current location address is 4106 W Lake Mary Blvd, Lake Mary, Florida. You can contact this provider via phone number 4073332273 and fax number 4073333939. The mailing address for Jesse Wayne Johnson is 4106 W Lake Mary Blvd, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Wayne Johnson |
|---|---|
| Address | 4106 W Lake Mary Blvd, Lake Mary, Florida |
| Phone Number | 4073332273 |
| Fax Number | 4073333939 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245344571 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2015-03-30 |
Provider Mailing Address Detail
| Address | 4106 W Lake Mary Blvd |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 327463315 |
| Phone Number | 4073332273 |
| Fax Number | 4073333939 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME 49038 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AM199 | FL | MEDICARE PROVIDER TRANSACTION | |
| PTAN DN9084 | FL | MEDICARE RR | |
| 4308871 | FL | CIGNA | |
| 4104041 | FL | AETNA | |
| 4163 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Jesse Wayne Johnson by the Centers for Medicare & Medicaid Services?
The Jesse Wayne Johnson has been issued the NPI (National Provider Identifier) 1245344571. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jesse Wayne Johnson is physically located?
The Jesse Wayne Johnson is situated at the following address: 4106 W Lake Mary Blvd, Lake Mary, FL 327463315.
What is Jesse Wayne Johnson's area of expertise and its corresponding taxonomy classification?
The Jesse Wayne Johnson's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jesse Wayne Johnson receive its 1245344571 assignment from the Centers for Medicare & Medicaid Services?
The Jesse Wayne Johnson was assigned its 1245344571 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jesse Wayne Johnson most recently updated or refreshed?
The details pertaining to the Jesse Wayne Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN