Denise Smith Johnson in Waldorf - Physician Assistant
Denise Smith Johnson - NPI 1124226147
Denise Smith Johnson is a Physician Assistant in Waldorf, Maryland. Denise Smith Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Denise Smith Johnson is 1124226147. The last update date is 2013-06-18.
Denise Smith Johnson's current location address is 12101 Old Line Ctr, Waldorf, Maryland. You can contact this provider via phone number 3018432223 and fax number 3017059720. The mailing address for Denise Smith Johnson is 12101 Old Line Ctr, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise Smith Johnson |
|---|---|
| Address | 12101 Old Line Ctr, Waldorf, Maryland |
| Phone Number | 3018432223 |
| Fax Number | 3017059720 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124226147 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2013-06-18 |
Provider Mailing Address Detail
| Address | 12101 Old Line Ctr |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206022552 |
| Phone Number | 3018432223 |
| Fax Number | 3017059720 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C0002293 |
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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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What is the unique 10-digit identifier code issued to Denise Smith Johnson by the Centers for Medicare & Medicaid Services?
The Denise Smith Johnson has been assigned the NPI (National Provider Identifier) 1124226147 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Denise Smith Johnson's facilities are geographically located?
The facilities of Denise Smith Johnson are physically situated at the following location: 12101 Old Line Ctr, Waldorf, MD, 206022552.
What is the Denise Smith Johnson's area of specialization and corresponding taxonomy classification?
The Denise Smith Johnson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Denise Smith Johnson receive its 1124226147 assignment from the Centers for Medicare & Medicaid Services?
The Denise Smith Johnson was assigned its 1124226147 by the Centers for Medicare & Medicaid Services on 2007-07-11.
When was the information regarding Denise Smith Johnson most recently updated?
The details pertaining to the Denise Smith Johnson, including its address, specialty, and other relevant information, were last refreshed on 2013-06-18.
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