Carolyn Johnson in Iowa City - Physician Assistant

Carolyn Johnson - NPI 1861474710

Carolyn Johnson is a Physician Assistant in Iowa City, Iowa. Carolyn Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carolyn Johnson is 1861474710. The last update date is 2012-08-09.

Carolyn Johnson's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193561616. The mailing address for Carolyn Johnson is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Johnson
Address 200 Hawkins Dr, Iowa City, Iowa
Phone Number 3193561616
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1861474710
Provider Enumeration Date 2005-11-16
Last Updated Date 2012-08-09

Provider Mailing Address Detail

Address 200 Hawkins Dr
City Iowa City
State Iowa (IA)
Post Code 522421009
Phone Number 3193561616
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 798
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
54739 IA WELLMARK BCBS

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FAQs about Carolyn Johnson

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

The Carolyn Johnson has been issued the NPI (National Provider Identifier) 1861474710. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Carolyn Johnson is physically located?

The Carolyn Johnson is situated at the following address: 200 Hawkins Dr, Iowa City, IA 522421009.

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

The Carolyn 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.

When was the Carolyn Johnson's 1861474710 issued?

The Carolyn Johnson's 1861474710 was issued on 2005-11-16.

As of what date was the information regarding Carolyn Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Carolyn Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-09.

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