Greg R Johnson is a Nephrology in Fort Wayne, Indiana. Greg R Johnson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Greg R Johnson is 1013960269. The last update date is 2022-12-21.
Greg R Johnson's current location address is 3909 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604696602 and fax number 2609693065. The mailing address for Greg R Johnson is 3909 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greg R Johnson |
|---|---|
| Address | 3909 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604696602 |
| Fax Number | 2609693065 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1013960269 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 3909 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451725 |
| Phone Number | 2604696602 |
| Fax Number | 2609693065 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 02001531A |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 675115 | IN | ANTHEM | |
| 200015220 | IN | -- | |
| P00895098 | IN | R.R. MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Greg R Johnson by the Centers for Medicare & Medicaid Services?
The Greg R Johnson has been issued the NPI (National Provider Identifier) 1013960269, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Greg R Johnson's facilities are geographically located?
The facilities of Greg R Johnson are physically situated at the following location: 3909 New Vision Dr, Fort Wayne, IN, 468451725.
What is Greg R Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Greg R Johnson is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
On what date did the Greg R Johnson receive its 1013960269 assignment from the Centers for Medicare & Medicaid Services?
The Greg R Johnson was assigned its 1013960269 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information regarding Greg R Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greg R Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-21.
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