DR. COURTNEY R JOHNSON MD NPI 1902827694

NPI Information

NPI: 1902827694
Provider Name: DR. COURTNEY R JOHNSON, MD
Classification: Pediatrics - 2080P0216X
Entity Type: Individual

Specialization: Pediatric Rheumatology

Address:
1432 S DOBSON RD
SUITE 501
MESA, AZ
ZIP 85202
Phone: (480) 412-7457
Get Directions

DR. Courtney R Johnson, MD is a pediatric rheumatology pediatrics in Mesa, AZ. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Courtney R Johnson, MD NPI is 1902827694. 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:

1432 S DOBSON RD
SUITE 501
MESA, AZ
ZIP 85202-768
Phone: (480) 412-7457
Fax: (480) 412-7475

The enumeration date for this NPI number is 7/21/2006 and was last updated on 3/17/2016.

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
1	208000000X	Pediatrics		2000213	NEW MEXICO	No
2	2080P0216X	Pediatrics	Pediatric Rheumatology	19112	ARIZONA	Yes

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
1	289703	MEDICAID	ARIZONA
2	Z180877	MEDICARE PIN	ARIZONA
3	A13319	MEDICARE UPIN
4	L3714	MEDICAID	NEW MEXICO
5	116055900	MEDICAID	WYOMING

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »