Elijah Michael Johnson in Las Vegas - Surgery

Elijah Michael Johnson - NPI 1851415509

Elijah Michael Johnson is a Surgery in Las Vegas, Nevada. Elijah Michael Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Elijah Michael Johnson is 1851415509. The last update date is 2023-03-07.

Elijah Michael Johnson's current location address is 1111 Shadow Lane, Las Vegas, Nevada. You can contact this provider via phone number 7027023834 and fax number 7023830526. The mailing address for Elijah Michael Johnson is 1111 Shadow Lane, Las Vegas, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Elijah Michael Johnson
Address 1111 Shadow Lane, Las Vegas, Nevada
Phone Number 7027023834
Fax Number 7023830526
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1851415509
Provider Enumeration Date 2007-03-19
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1111 Shadow Lane
City Las Vegas
State Nevada (NV)
Post Code 891022325
Phone Number 7027023834
Fax Number 7023830526

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 13190
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LL1489 NV MEDICAL LICENSE

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FAQs about Elijah Michael Johnson

What is the unique identification code assigned to Elijah Michael Johnson by the Centers for Medicare & Medicaid Services?

The Elijah Michael Johnson has been issued the NPI (National Provider Identifier) 1851415509. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Elijah Michael Johnson is physically located?

The Elijah Michael Johnson is physically situated at the following address: 1111 Shadow Lane, Las Vegas, NV, 891022325.

What is Elijah Michael Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Elijah Michael Johnson's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851415509 to Elijah Michael Johnson?

The Elijah Michael Johnson received its 1851415509 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.

When was the information related to Elijah Michael Johnson most recently updated or refreshed?

The details pertaining to the Elijah Michael Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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