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CHANDRIA LYNN JOHNSON M.D. NPI 1437250750


NPI Information

NPI: 1437250750
Provider Name: CHANDRIA LYNN JOHNSON, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-3890
Get Directions

Chandria Lynn Johnson, M.D. is an obstetrics gynecology in Springfield, MO with 22 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Chandria Lynn Johnson, M.D. NPI is 1437250750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804-203
Phone: (417) 820-3890
Fax: (417) 820-3567

The NPI 1437250750 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/3/2014.


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
1207V00000XObstetrics & GynecologyME90117FLORIDANo
2207V00000XObstetrics & Gynecology2010014079MISSOURIYes

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
1132680132MEDICARE PIN
2431560263OTHERTRICARE WEST
3132300109MEDICARE PINMISSOURI
41437250750MEDICAIDMISSOURI
5275400200MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.