Richard Keith Johnson in Jackson - Surgery
Richard Keith Johnson - NPI 1669494175
Richard Keith Johnson is a Surgery in Jackson, Mississippi. Richard Keith Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Richard Keith Johnson is 1669494175. The last update date is 2011-08-24.
Richard Keith Johnson's current location address is 971 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 6019823202 and fax number 6019823259. The mailing address for Richard Keith Johnson is 971 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Keith Johnson |
|---|---|
| Address | 971 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 6019823202 |
| Fax Number | 6019823259 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669494175 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2011-08-24 |
Provider Mailing Address Detail
| Address | 971 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164621 |
| Phone Number | 6019823202 |
| Fax Number | 6019823259 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 2006015220 |
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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 |
|---|---|---|---|
| 3826375 | MS | -- | |
| 209433 | MO | BLUE SHIELD | |
| 203735600 | MO | -- | |
| 752753 | MO | HEALTHLINK |
Post Comment/ Review Below
What is the unique identification code assigned to Richard Keith Johnson by the Centers for Medicare & Medicaid Services?
The Richard Keith Johnson has been issued the NPI (National Provider Identifier) 1669494175. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Keith Johnson's physical address?
The Richard Keith Johnson is physically located at 971 Lakeland Dr, in the city of Jackson, MS, with the postal code 392164621.
What is Richard Keith Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Keith Johnson is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669494175 to Richard Keith Johnson?
The Richard Keith Johnson received its 1669494175 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the Richard Keith Johnson's information last updated?
The Richard Keith Johnson's information was last updated on 2011-08-24.