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RUSSELL JOHNSON NPI 1336102375


NPI Information

NPI: 1336102375
Provider Name: RUSSELL JOHNSON
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: EMERGENCY PHYSICIANS OF NORTHWEST OHIO, INC.

PECOS Registration: Yes

Address:
2142 N COVE BLVD
TOLEDO, OH
ZIP 43606
Phone: (419) 291-4101
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Russell Johnson is an emergency medicine in Toledo, OH with 27 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Russell Johnson NPI is 1336102375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1997

The provider's business location address is:

2142 N COVE BLVD
TOLEDO, OH
ZIP 43606-895
Phone: (419) 291-4101

The NPI 1336102375 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 4/10/2006 and was last updated on 1/7/2008.


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
1207P00000XEmergency Medicine34-00-7168OHIOYes

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
1341960760035OTHEROHIOCARESOURCE
2JO4038365MEDICARE PINOHIO
3H29137MEDICARE UPINOHIO
44429949MEDICAIDMICHIGAN
5JO4038364MEDICARE PINOHIO
6727174OTHEROHIOBCHP
7810547599042MEDICAIDOHIO
82228753MEDICAIDOHIO
9000000271437OTHEROHIOANTHEM
10000000372951OTHEROHIOANTHEM
11P00191083MEDICARE PINOHIO

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: 11/14/2023

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.