Russell F Johnson in South Bend - Radiation Oncology

Russell F Johnson - NPI 1003801283

Russell F Johnson is a Radiation Oncology in South Bend, Indiana. Russell F Johnson practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Russell F Johnson is 1003801283. The last update date is 2021-07-16.

Russell F Johnson's current location address is 710 N Niles Ave, South Bend, Indiana. You can contact this provider via phone number 5746471610. The mailing address for Russell F Johnson is 710 N Niles Ave, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell F Johnson
Address 710 N Niles Ave, South Bend, Indiana
Phone Number 5746471610
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003801283
Provider Enumeration Date 2005-09-14
Last Updated Date 2021-07-16

Provider Mailing Address Detail

Address 710 N Niles Ave
City South Bend
State Indiana (IN)
Post Code 466171924
Phone Number 5746471610
Fax Number

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 1039533
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200001710 IN --

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FAQs about Russell F Johnson

What is the Russell F Johnson's unique identification number?

The Russell F Johnson has been assigned the NPI (National Provider Identifier) Number 1003801283 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Russell F Johnson?

The Russell F Johnson is situated at 710 N Niles Ave, in the city of South Bend, state of IN, with the zip code 466171924.

What is the area of specialization for Russell F Johnson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Russell F Johnson is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0001X.

On what date did the Russell F Johnson receive its 1003801283 assignment from the Centers for Medicare & Medicaid Services?

The Russell F Johnson was assigned its 1003801283 by the Centers for Medicare & Medicaid Services on 2005-09-14.

As of what date was the information regarding Russell F Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Russell F Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-16.

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