Heather A Johnson in Tampa - Physician Assistant

Heather A Johnson - NPI 1356396535

Heather A Johnson is a Physician Assistant in Tampa, Florida. Heather A Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather A Johnson is 1356396535. The last update date is 2015-03-16.

Heather A Johnson's current location address is 12479 Telecom Dr, Tampa, Florida. You can contact this provider via phone number 8139724199 and fax number 8139725753. The mailing address for Heather A Johnson is 12479 Telecom Dr, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather A Johnson
Address 12479 Telecom Dr, Tampa, Florida
Phone Number 8139724199
Fax Number 8139725753
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1356396535
Provider Enumeration Date 2006-05-24
Last Updated Date 2015-03-16

Provider Mailing Address Detail

Address 12479 Telecom Dr
City Tampa
State Florida (FL)
Post Code 336370913
Phone Number 8139724199
Fax Number 8139725753

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00003023
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E1613X FL BCBS OF FLORIDA

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FAQs about Heather A Johnson

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

The Heather A Johnson has been issued the NPI (National Provider Identifier) 1356396535. 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 Heather A Johnson's physical address?

The Heather A Johnson is physically located at 12479 Telecom Dr, in the city of Tampa, FL, with the postal code 336370913.

What is Heather A Johnson's area of expertise and its corresponding taxonomy classification?

The Heather A Johnson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Heather A Johnson receive its 1356396535 assignment from the Centers for Medicare & Medicaid Services?

The Heather A Johnson was assigned its 1356396535 on 2006-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Heather A Johnson most recently updated or revised?

The information pertaining to Heather A Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-16.

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