Pamela D Johnson is a Surgery in Detroit, Michigan. Pamela D Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Pamela D Johnson is 1417083189. The last update date is 2014-01-17.
Pamela D Johnson's current location address is 4100 John R St, Detroit, Michigan. You can contact this provider via phone number 8005276266 and fax number 3135768699. The mailing address for Pamela D Johnson is 4100 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela D Johnson |
|---|---|
| Address | 4100 John R St, Detroit, Michigan |
| Phone Number | 8005276266 |
| Fax Number | 3135768699 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417083189 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2014-01-17 |
Provider Mailing Address Detail
| Address | 4100 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012013 |
| Phone Number | 8005276266 |
| Fax Number | 3135768699 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301048870 |
|
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 |
|---|---|---|---|
| 4133392 | MI | AETNA | |
| B8910 | MA | MCARE | |
| 2422609003 | MI | CIGNA | |
| 633185 | MA | BCBS | |
| 102263 | MI | PREFERRED CHOICES | |
| 74717A | MA | HEALTH ALLIANCE PLAN | |
| P71138 | MI | BLUE CHOICE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pamela D Johnson?
The Pamela D Johnson has been issued the NPI (National Provider Identifier) 1417083189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pamela D Johnson located?
The Pamela D Johnson is located at 4100 John R St, Detroit, MI 482012013.
What is Pamela D Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pamela D Johnson's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When was the Pamela D Johnson's 1417083189 issued?
The Pamela D Johnson's 1417083189 was issued on 2007-02-26.
When was the information related to Pamela D Johnson most recently updated or refreshed?
The details pertaining to the Pamela D Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-01-17.
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN