Philip B Johnson in Urbana - Internal Medicine
Philip B Johnson - NPI 1710902127
Philip B Johnson is a Internal Medicine in Urbana, Illinois. Philip B Johnson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Philip B Johnson is 1710902127. The last update date is 2015-05-26.
Philip B Johnson's current location address is 611 W. Park St., Urbana, Illinois. You can contact this provider via phone number 2173836792. The mailing address for Philip B Johnson is 611 W. Park St., Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip B Johnson |
|---|---|
| Address | 611 W. Park St., Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710902127 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 611 W. Park St. |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012500 |
| Phone Number | 2173836792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36044383 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110062458 | IL | RAILROAD | |
| 533210001 | IL | DMERC |
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What is the unique identifier code issued to Philip B Johnson by the Centers for Medicare & Medicaid Services?
The Philip B Johnson has been assigned the NPI (National Provider Identifier) 1710902127. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Philip B Johnson is located?
The Philip B Johnson is situated at the following address: 611 W. Park St., Urbana, IL, 618012500.
What is the Philip B Johnson's area of specialization and corresponding taxonomy classification?
The Philip B Johnson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Philip B Johnson receive its 1710902127 assignment from the Centers for Medicare & Medicaid Services?
The Philip B Johnson was assigned its 1710902127 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the details pertaining to Philip B Johnson last refreshed?
The information related to the Philip B Johnson, including its address, specialty, and other relevant details, was last updated on 2015-05-26.