Mark Samuel Johnson in Lafayette - Physician Assistant
Mark Samuel Johnson - NPI 1568453132
Mark Samuel Johnson is a Physician Assistant in Lafayette, Louisiana. Mark Samuel Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Samuel Johnson is 1568453132. The last update date is 2020-03-13.
Mark Samuel Johnson's current location address is 200 Corporate Blvd, Lafayette, Louisiana. You can contact this provider via phone number 8008939698. The mailing address for Mark Samuel Johnson is 200 Corporate Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Samuel Johnson |
|---|---|
| Address | 200 Corporate Blvd, Lafayette, Louisiana |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C MT AS |
NPI Number Detail
| NPI Number | 1568453132 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-03-13 |
Provider Mailing Address Detail
| Address | 200 Corporate Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083870 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2010013488 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Samuel Johnson by the Centers for Medicare & Medicaid Services?
The Mark Samuel Johnson has been assigned the NPI (National Provider Identifier) 1568453132. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Samuel Johnson's facilities are situated?
The facilities of Mark Samuel Johnson are physically located at the following address: 200 Corporate Blvd, Lafayette, LA, 705083870.
What is Mark Samuel Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Samuel Johnson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1568453132 assigned to Mark Samuel Johnson?
The Mark Samuel Johnson was issued its 1568453132 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Samuel Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Samuel Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-03-13.