Susan Schuck Johnson in Saint Louis - Internal Medicine

Susan Schuck Johnson - NPI 1174529275

Susan Schuck Johnson is a Internal Medicine in Saint Louis, Missouri. Susan Schuck Johnson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Susan Schuck Johnson is 1174529275. The last update date is 2016-01-22.

Susan Schuck Johnson's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 5734999009 and fax number 5734994400. The mailing address for Susan Schuck Johnson is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Schuck Johnson
Address 670 Mason Ridge Center Dr, Saint Louis, Missouri
Phone Number 5734999009
Fax Number 5734994400
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174529275
Provider Enumeration Date 2005-06-23
Last Updated Date 2016-01-22

Provider Mailing Address Detail

Address 670 Mason Ridge Center Dr
City Saint Louis
State Missouri (MO)
Post Code 631418573
Phone Number 5734999009
Fax Number 5734994400

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36736
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
127771 MO GROUP HEALTH PLANS
A002 MO TRICARE IND
AI3068 MO MERCY
669715 MS FIRST HEALTH
P00187205 MO RAILROAD MEDICARE
404040 MS UNITED HEALTHCARE
102600 MO HEALTHLINK
5422 MS BLUE CROSS BLUE SHIELD

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FAQs about Susan Schuck Johnson

What is the unique identifier code issued to Susan Schuck Johnson by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Schuck Johnson has been assigned the NPI (National Provider Identifier) 1174529275. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Susan Schuck Johnson?

The Susan Schuck Johnson is physically situated at 670 Mason Ridge Center Dr, in the city of Saint Louis, state of MO, with the postal code 631418573.

What is Susan Schuck Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Schuck Johnson's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Susan Schuck Johnson receive its 1174529275 assignment from the Centers for Medicare & Medicaid Services?

The Susan Schuck Johnson was assigned its 1174529275 by the Centers for Medicare & Medicaid Services on 2005-06-23.

When was the information regarding Susan Schuck Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan Schuck Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-01-22.

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