David Ellsworth Johnson in Ketchikan - Pediatrics
David Ellsworth Johnson - NPI 1396803763
David Ellsworth Johnson is a Pediatrics in Ketchikan, Alaska. David Ellsworth Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for David Ellsworth Johnson is 1396803763. The last update date is 2007-07-08.
David Ellsworth Johnson's current location address is Po Box 6852, Ketchikan, Alaska. You can contact this provider via phone number 9072256396 and fax number 9072475951. The mailing address for David Ellsworth Johnson is Po Box 6852, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ellsworth Johnson |
|---|---|
| Address | Po Box 6852, Ketchikan, Alaska |
| Phone Number | 9072256396 |
| Fax Number | 9072475951 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396803763 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 6852 |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999011852 |
| Phone Number | 9072256396 |
| Fax Number | 9072475951 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1160 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD1213 | AK | -- | |
| R004 | AK | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Ellsworth Johnson by the Centers for Medicare & Medicaid Services?
The David Ellsworth Johnson has been assigned the NPI (National Provider Identifier) 1396803763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the David Ellsworth Johnson's physical address?
The David Ellsworth Johnson is physically located at Po Box 6852, in the city of Ketchikan, AK, with the postal code 999011852.
What is the area of specialization for David Ellsworth Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Ellsworth Johnson is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1396803763 assigned to David Ellsworth Johnson?
The David Ellsworth Johnson was issued its 1396803763 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David Ellsworth Johnson most recently updated or refreshed?
The details pertaining to the David Ellsworth Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.