DR. SUSAN H. JOHNSON MD NPI 1073546925

NPI Information

NPI: 1073546925
Provider Name: DR. SUSAN H. JOHNSON, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
34503 9TH AVE S
STE 330
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 383-3695
Get Directions

DR. Susan H. Johnson, MD is a gynecology obstetrics gynecology in Federal Way, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Susan H. Johnson, MD NPI is 1073546925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34503 9TH AVE S
STE 330
FEDERAL WAY, WA
ZIP 98003-726
Phone: (253) 383-3695
Fax: (253) 661-1987

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/12/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	MD17446	OREGON	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	MD60287595	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8145617	MEDICAID	OREGON
2	G8910246	MEDICARE PIN	WASHINGTON
3	R114593	MEDICARE PIN	OREGON
4	0296298	OTHER	WASHINGTON	STATE L&I
5	160059803	OTHER	OREGON	RAILROAD MEDICARE
6	F05542	MEDICARE UPIN	OREGON

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

NPI Synchronization or Removal

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