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JOHNSON PROFESSIONAL ASSOCIATES PC NPI 1770564262


NPI Information

NPI: 1770564262
Provider Name: JOHNSON PROFESSIONAL ASSOCIATES, PC
Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT
ZIP 06076
Phone: (860) 272-2916
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JOHNSON PROFESSIONAL ASSOCIATES, PC is a hospitalist in Stafford Springs, CT. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. JOHNSON PROFESSIONAL ASSOCIATES, PC NPI is 1770564262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT
ZIP 06076-005
Phone: (860) 272-2916
Fax: (860) 272-2993

The provider's authorized official is Ian S. Tucker .
The authorized official title is President and has the following contact phone number (860) 684-8478.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 7/17/2015.


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 MedicineNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5208200000XPlastic SurgeryNo
6207V00000XObstetrics & GynecologyNo
7207Q00000XFamily MedicineNo
8208M00000XHospitalistYes

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
1CA7389MEDICARE PIN
2004262143MEDICAIDCONNECTICUT
3004196459MEDICAIDCONNECTICUT
4004226735MEDICAIDCONNECTICUT
5004396489MEDICAIDCONNECTICUT
6C01434MEDICARE PINCONNECTICUT

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

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