David Johnson, M.D., P. A.

LBN: David Johnson, M.D., P. A.
David Johnson, M.D., P. A. is an health care organization with primary practice located at 775 Pole Line Rd W Suite 213, Twin Falls ID 83301-5814. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. David Johnson, M.D., P. A. can be contacted via phone (208) 814-8475, or through Johnson, David A via phone (208) 814-7150.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 213 Twin Falls ID 83301-5814
Phone: (208) 814-8475
Fax: (208) 734-4177
Website:
Map and Directions
Authorized official contact:
Name: Johnson, David A Doctor of Medicine (MD)
Phone: (208) 814-7150

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X M9086 Idaho

Profile Details

NPI number 1467499418
LBN Legal business name David Johnson, M.D., P. A.
DBA Doing business as
Authorized official Johnson, David A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Mar 9th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467499418 NPPES
Idaho MEDICAID 003760400
Idaho Other 020051471

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