JASON DANIEL JOHNSON PLLC NPI 1720597065

NPI Information

  • NPI: 1720597065
  • Provider Name: JASON DANIEL JOHNSON, PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Doing Business As: PHX PLASTIC SURGERY
  • Address: 15396 N 83RD AVE STE B100
    PEORIA, AZ
    ZIP 85381
  • Phone: (602) 610-2999

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NPI Details

JASON DANIEL JOHNSON, PLLC is a plastic and reconstructive surgery surgery in Peoria, AZ. The provider is a surgeon who specializes in plastic and reconstructive surgery. JASON DANIEL JOHNSON, PLLC NPI is 1720597065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phx Plastic Surgery.

The provider's business location address is:

15396 N 83RD AVE STE B100
PEORIA, AZ
ZIP 85381-626
Phone: (602) 610-2999
Fax: (623) 321-7821

The provider's authorized official is Jason D Johnson .
The authorized official title is Owner and has the following contact phone number (602) 610-2999.

The enumeration date for this NPI number is 9/28/2017 and was last updated on 4/6/2020.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery006929ARIZONAYes

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
1033104MEDICAIDARIZONA

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: 11/21/2025

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