Johannigman, Jay Albert

Johannigman, Jay Albert is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , San Antonio TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Johannigman, Jay Albert can be contacted via phone (210) 916-7500.

Contact Information

Primary practice address
3551 Roger Brooke Dr San Antonio TX 78234-4504
Phone: (210) 916-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35-057183 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35.057183 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X M-16154 Idaho
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X S8193 Texas

Profile Details

NPI number 1548257405
LBN Legal business name Johannigman, Jay Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548257405 NPPES
Ohio MEDICAID 0617236
Ohio MEDICAID 0705017
Ohio MEDICAID 64860240

Popular Providers