Stan Michael Johnson in Pikeville - Pediatrics

Stan Michael Johnson - NPI 1184610461

Stan Michael Johnson is a Pediatrics in Pikeville, Kentucky. Stan Michael Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stan Michael Johnson is 1184610461. The last update date is 2007-07-08.

Stan Michael Johnson's current location address is 387 Town Mountain Rd, Pikeville, Kentucky. You can contact this provider via phone number 6064371008 and fax number 6064375040. The mailing address for Stan Michael Johnson is 387 Town Mountain Rd, Pikeville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stan Michael Johnson
Address 387 Town Mountain Rd, Pikeville, Kentucky
Phone Number 6064371008
Fax Number 6064375040
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184610461
Provider Enumeration Date 2005-09-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 387 Town Mountain Rd
City Pikeville
State Kentucky (KY)
Post Code 415011640
Phone Number 6064371008
Fax Number 6064375040

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 39306
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64099344 KY --

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FAQs about Stan Michael Johnson

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

The Stan Michael Johnson has been assigned the NPI (National Provider Identifier) 1184610461. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Stan Michael Johnson is physically located?

The Stan Michael Johnson is physically situated at the following address: 387 Town Mountain Rd, Pikeville, KY, 415011640.

What is the Stan Michael Johnson's specialty and taxonomy code?

The Stan Michael Johnson's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did Stan Michael Johnson receive its 1184610461 assignment from the Centers for Medicare & Medicaid Services?

The Stan Michael Johnson was assigned its 1184610461 on 2005-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Stan Michael Johnson's information last updated?

The Stan Michael Johnson's information was last updated on 2007-07-08.

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