Robert Lance Johansen in Gulfport - Adult Reconstructive Orthopaedic Surgery
Robert Lance Johansen - NPI 1861463788
Robert Lance Johansen is a Adult Reconstructive Orthopaedic Surgery in Gulfport, Mississippi. Robert Lance Johansen practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Robert Lance Johansen is 1861463788. The last update date is 2012-03-14.
Robert Lance Johansen's current location address is 15190 Community Rd, Gulfport, Mississippi. You can contact this provider via phone number 2283282400 and fax number 2283284200. The mailing address for Robert Lance Johansen is 15190 Community Rd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lance Johansen |
|---|---|
| Address | 15190 Community Rd, Gulfport, Mississippi |
| Phone Number | 2283282400 |
| Fax Number | 2283284200 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861463788 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2012-03-14 |
Provider Mailing Address Detail
| Address | 15190 Community Rd |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395033484 |
| Phone Number | 2283282400 |
| Fax Number | 2283284200 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 14698 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5707330001 | MS | NSC | |
| 116678 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Lance Johansen by the Centers for Medicare & Medicaid Services?
The Robert Lance Johansen has been assigned the NPI (National Provider Identifier) 1861463788. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Robert Lance Johansen's facilities are geographically located?
The facilities of Robert Lance Johansen are physically situated at the following location: 15190 Community Rd, Gulfport, MS, 395033484.
What is Robert Lance Johansen's area of expertise and its corresponding taxonomy classification?
The Robert Lance Johansen's field of specialization is Adult Reconstructive Orthopaedic Surgery, and it falls under the taxonomy code 207Xs0114X, which categorizes healthcare providers based on their areas of practice.
On what date did the Robert Lance Johansen receive the assignment of its 1861463788 from the Centers for Medicare & Medicaid Services?
The Robert Lance Johansen was issued its 1861463788 by the Centers for Medicare & Medicaid Services on 2006-01-30.
When was the information related to Robert Lance Johansen most recently updated or refreshed?
The details pertaining to the Robert Lance Johansen, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-14.