JEDIDIAH JOHNSON PA-C NPI 1689155673

NPI Information

  • NPI: 1689155673
  • Provider Name: JEDIDIAH JOHNSON, PA-C
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6424 E BROADWAY RD STE 101
    MESA, AZ
    ZIP 85206
  • Phone: (480) 456-9000

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NPI Details

Jedidiah Johnson, PA-C is a diagnostic radiology radiology in Mesa, AZ with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jedidiah Johnson, PA-C NPI is 1689155673. 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:

6424 E BROADWAY RD STE 101
MESA, AZ
ZIP 85206-750
Phone: (480) 456-9000

The NPI 1689155673 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Needle biopsy of liver through skin (HCPCS:47000)
  • Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance (HCPCS:32557)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)

The enumeration date for this NPI number is 8/27/2018 and was last updated on 1/30/2019.

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
12085R0202XRadiologyDiagnostic Radiology7194ARIZONAYes
2363A00000XPhysician AssistantNo

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: 3/30/2025

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