Jody Michael Johnson in Prestonsburg - Surgery
Jody Michael Johnson - NPI 1588692503
Jody Michael Johnson is a Surgery in Prestonsburg, Kentucky. Jody Michael Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jody Michael Johnson is 1588692503. The last update date is 2021-02-03.
Jody Michael Johnson's current location address is Po Box 1239, Prestonsburg, Kentucky. You can contact this provider via phone number 6068896240 and fax number 6068869908. The mailing address for Jody Michael Johnson is Po Box 1239, Prestonsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Michael Johnson |
|---|---|
| Address | Po Box 1239, Prestonsburg, Kentucky |
| Phone Number | 6068896240 |
| Fax Number | 6068869908 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1588692503 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | Po Box 1239 |
|---|---|
| City | Prestonsburg |
| State | Kentucky (KY) |
| Post Code | 416535239 |
| Phone Number | 6068896240 |
| Fax Number | 6068869908 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 2979 |
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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 |
|---|---|---|---|
| 64121213 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jody Michael Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Jody Michael Johnson has been assigned the NPI (National Provider Identifier) 1588692503. 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 Jody Michael Johnson's facilities are situated?
The facilities of Jody Michael Johnson are physically located at the following address: Po Box 1239, Prestonsburg, KY, 416535239.
What is the area of specialization for Jody Michael Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jody Michael Johnson is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Jody Michael Johnson receive its 1588692503 assignment from the Centers for Medicare & Medicaid Services?
The Jody Michael Johnson was assigned its 1588692503 by the Centers for Medicare & Medicaid Services on 2006-06-29.
When was the information related to Jody Michael Johnson most recently updated or refreshed?
The details pertaining to the Jody Michael Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-03.