Johnson Professional Associates, Pc

LBN: Johnson Professional Associates, Pc
Johnson Professional Associates, Pc is an health care organization with primary practice located at 201 Chestnut Hill Rd , Stafford Springs CT 06076-4005. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Johnson Professional Associates, Pc can be contacted via phone (860) 272-2916, or through Tucker, Ian S. via phone (860) 684-8478.

Contact Information

Primary practice address
201 Chestnut Hill Rd Stafford Springs CT 06076-4005
Phone: (860) 272-2916
Fax: (860) 272-2993
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Ian S. Doctor of Medicine (MD)
Phone: (860) 684-8478

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1770564262
LBN Legal business name Johnson Professional Associates, Pc
DBA Doing business as
Authorized official Tucker, Ian S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 17th, 2015 - about 10 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 1770564262 NPPES
Connecticut MEDICAID 004226735
Connecticut MEDICAID 004396489
Connecticut MEDICAID 004262143
Connecticut MEDICAID 004196459

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