Douglas L Johnson in St Augustine - Plastic Surgery Within The Head And Neck
Douglas L Johnson - NPI 1730292517
Douglas L Johnson is a Plastic Surgery Within The Head And Neck in St Augustine, Florida. Douglas L Johnson practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Douglas L Johnson is 1730292517. The last update date is 2008-06-23.
Douglas L Johnson's current location address is 1301 Plantation Island Dr S, St Augustine, Florida. You can contact this provider via phone number 9044600505 and fax number 9044600506. The mailing address for Douglas L Johnson is 1301 Plantation Island Dr S, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas L Johnson |
|---|---|
| Address | 1301 Plantation Island Dr S, St Augustine, Florida |
| Phone Number | 9044600505 |
| Fax Number | 9044600506 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1730292517 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 1301 Plantation Island Dr S |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320803108 |
| Phone Number | 9044600505 |
| Fax Number | 9044600506 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | DN15568 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1615570 | UNITED CONCORDIA | ||
| 415568 | FL | DELTA DENTAL OF FLORIDA | |
| 84009 | FL | BCBS INS | |
| B15568-1 | FL | FL HEALTH KIDS | |
| P00237430 | FL | RAILROAD MEDICARE INDIVIDUAL | |
| 20-0618977 | SOUTHCARE MEDICAL PPO |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas L Johnson by the Centers for Medicare & Medicaid Services?
The Douglas L Johnson has been issued the NPI (National Provider Identifier) 1730292517, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Douglas L Johnson's area of specialization and corresponding taxonomy classification?
The Douglas L Johnson's specialty field is Plastic Surgery Within The Head And Neck, and it falls under the taxonomy code 2082S0099X, which categorizes healthcare providers based on their specialties.
When did the Douglas L Johnson receive its 1730292517?
The Douglas L Johnson was issued its 1730292517 on 2006-08-16, which is the date when the organization was assigned this unique identifier.
On what date did the Douglas L Johnson receive its 1730292517 assignment from the Centers for Medicare & Medicaid Services?
The Douglas L Johnson was assigned its 1730292517 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date were the Douglas L Johnson's details last updated?
The information pertaining to the Douglas L Johnson, including its address, specialty, and other details, was most recently updated on 2008-06-23.