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JEROME GORDON JOHNSON M.D. NPI 1033292339


NPI Information

NPI: 1033292339
Provider Name: JEROME GORDON JOHNSON, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
1000 MON HEALTH MEDICAL PARK DR
SUITE 1100
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-1448
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Jerome Gordon Johnson, M.D. is a surgery in Morgantown, WV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jerome Gordon Johnson, M.D. NPI is 1033292339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 MON HEALTH MEDICAL PARK DR
SUITE 1100
MORGANTOWN, WV
ZIP 26505-104
Phone: (304) 599-1448
Fax: (304) 599-5335

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery08973WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WV5365C185OTHERWEST VIRGINIAMEDICARE
2001719639OTHERBLUE CROSS BLUE SHIELD
30127517000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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