Shane Reed Johnson is a Surgical in Nampa, Idaho. Shane Reed Johnson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shane Reed Johnson is 1275512543. The last update date is 2009-12-18.
Shane Reed Johnson's current location address is 217 W Georgia Ave, Nampa, Idaho. You can contact this provider via phone number 2084633234 and fax number 2084633044. The mailing address for Shane Reed Johnson is 217 W Georgia Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Reed Johnson |
|---|---|
| Address | 217 W Georgia Ave, Nampa, Idaho |
| Phone Number | 2084633234 |
| Fax Number | 2084633044 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1275512543 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2009-12-18 |
Provider Mailing Address Detail
| Address | 217 W Georgia Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836866811 |
| Phone Number | 2084633234 |
| Fax Number | 2084633044 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA293 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Shane Reed Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Shane Reed Johnson has been assigned the NPI (National Provider Identifier) 1275512543. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shane Reed Johnson?
The Shane Reed Johnson is physically situated at 217 W Georgia Ave, in the city of Nampa, state of ID, with the postal code 836866811.
What is Shane Reed Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shane Reed Johnson is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When did Shane Reed Johnson receive its 1275512543 assignment?
The Shane Reed Johnson was assigned its 1275512543 on 2006-01-13, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Shane Reed Johnson most recently updated or revised?
The details related to Shane Reed Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-18.