Andrew Robert Johnson in Mount Vernon - Surgery
Andrew Robert Johnson - NPI 1164418943
Andrew Robert Johnson is a Surgery in Mount Vernon, Illinois. Andrew Robert Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Andrew Robert Johnson is 1164418943. The last update date is 2022-10-11.
Andrew Robert Johnson's current location address is 4218 Lincolnshire Dr, Mount Vernon, Illinois. You can contact this provider via phone number 6182428480 and fax number 6182428499. The mailing address for Andrew Robert Johnson is 4218 Lincolnshire Dr, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Robert Johnson |
|---|---|
| Address | 4218 Lincolnshire Dr, Mount Vernon, Illinois |
| Phone Number | 6182428480 |
| Fax Number | 6182428499 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164418943 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2022-10-11 |
Provider Mailing Address Detail
| Address | 4218 Lincolnshire Dr |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642156 |
| Phone Number | 6182428480 |
| Fax Number | 6182428499 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 28808 |
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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 |
|---|---|---|---|
| 36121708 | IL | -- |
Post Comment/ Review Below
What is the Andrew Robert Johnson's unique identification number?
The Andrew Robert Johnson has been assigned the NPI (National Provider Identifier) Number 1164418943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Andrew Robert Johnson is geographically located?
The Andrew Robert Johnson is physically situated at the following location: 4218 Lincolnshire Dr, Mount Vernon, IL, 628642156.
What is Andrew Robert Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew Robert Johnson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When was the Andrew Robert Johnson's 1164418943 issued?
The Andrew Robert Johnson's 1164418943 was issued on 2005-09-27.
As of what date was the information pertaining to Andrew Robert Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andrew Robert Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-11.
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