JERROLD JOHNSON NPI 1861372096

NPI Information

  • NPI: 1861372096
  • Provider Name: JERROLD JOHNSON
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 6679 BALSAM DR
    BEDFORD HEIGHTS, OH
    ZIP 44146
  • Phone: (407) 450-4549

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NPI Details

Jerrold Johnson is a military health care provider in Bedford Heights, OH. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jerrold Johnson NPI is 1861372096. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6679 BALSAM DR
BEDFORD HEIGHTS, OH
ZIP 44146-804
Phone: (407) 450-4549

The enumeration date for this NPI number is 9/8/2025 and was last updated on 9/8/2025.

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
1172A00000XDriverOHIONo
2374U00000XHome Health AideOHIONo
3171000000XMilitary Health Care ProviderOHIOYes

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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