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WARREN T. JOHNSON NPI 1801236948


NPI Information

NPI: 1801236948
Provider Name: WARREN T. JOHNSON

Doing Business As: OWL CREEK MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2057399

Address:
70 S 20TH AVE
SUITE H
BRIGHTON, CO
ZIP 80601
Phone: (303) 655-1111
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WARREN T. JOHNSON is a family medicine in Brighton, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WARREN T. JOHNSON NPI is 1801236948. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Owl Creek Medical.

The provider's business location address is:

70 S 20TH AVE
SUITE H
BRIGHTON, CO
ZIP 80601-703
Phone: (303) 655-1111
Fax: (303) 655-1172

The provider's authorized official is Warren T Johnson .
The authorized official title is Ceo and has the following contact phone number (303) 655-1111.

The CLIA number assigned to this NPI record is 06D2057399 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/3/2013 and was last updated on 7/3/2013.


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
1207Q00000XFamily Medicine24827COLORADOYes

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
101248277MEDICAIDCOLORADO

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

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