Jerome Gordon Johnson in Morgantown - Surgery
Jerome Gordon Johnson - NPI 1033292339
Jerome Gordon Johnson is a Surgery in Morgantown, . Jerome Gordon Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jerome Gordon Johnson is 1033292339. The last update date is 2018-01-08.
Jerome Gordon Johnson's current location address is 1000 Mon Health Medical Park Dr, Morgantown, . You can contact this provider via phone number 3045991448 and fax number 3045995335. The mailing address for Jerome Gordon Johnson is 1000 Mon Health Medical Park Dr, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Gordon Johnson |
|---|---|
| Address | 1000 Mon Health Medical Park Dr, Morgantown, |
| Phone Number | 3045991448 |
| Fax Number | 3045995335 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033292339 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2018-01-08 |
Provider Mailing Address Detail
| Address | 1000 Mon Health Medical Park Dr |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 265051104 |
| Phone Number | 3045991448 |
| Fax Number | 3045995335 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 8973 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127517000 | WV | -- | |
| WV5365C185 | WV | MEDICARE | |
| 1719639 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jerome Gordon Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Jerome Gordon Johnson has been assigned the NPI (National Provider Identifier) 1033292339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jerome Gordon Johnson's facilities are situated?
The facilities of Jerome Gordon Johnson are physically located at the following address: 1000 Mon Health Medical Park Dr, Morgantown, WV, 265051104.
What is the Jerome Gordon Johnson's specialty and taxonomy code?
The Jerome Gordon Johnson's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033292339 to Jerome Gordon Johnson?
The Centers for Medicare & Medicaid Services assigned the 1033292339 to Jerome Gordon Johnson on 2006-10-23.
As of what date were the details related to Jerome Gordon Johnson most recently updated or revised?
The information pertaining to Jerome Gordon Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-08.
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