Active NPIIndividual provider

Mr. David P Johnson, PA

Physician Assistant in Millinocket, Maine

NPI Number1053550350
Practice location
165 Poplar Street, Suite #1, Millinocket, ME 04462
Fax
207-723-3006
Last updated
September 10, 2013

David P Johnson is a Physician Assistant based in Millinocket, ME. David P Johnson practices in Millinocket, ME and has the professional credentials of PA. The NPI Number for David P Johnson is 1053550350 and holds a License No. PA1157 (ME). The current practice location address for David P Johnson is 165 Poplar Street, Suite #1, Millinocket, ME 04462 and can be reached out via phone at 207-723-2034 and via fax at 207-723-3006.

Provider Profile Details

NPI Number
1053550350
Provider Name
David P Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
165 Poplar Street, Suite #1, Millinocket, ME 04462
Phone Number
207-723-2034
Fax Number
207-723-3006
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 10, 2009
Last Update Date
September 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Poplar Street
Suite #1
Millinocket, ME 04462
State
Maine
Zip
04462
Phone Number
207-723-2034
Fax Number
207-723-3006
Millinocket, ME 04462Get directions →

Provider Business Mailing Address Details

Address
200 Somerset Street
Millinocket, ME 04462
City
Millinocket
State
ME
Zip
04462
Phone Number
207-723-5161
Fax Number
207-564-4370

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X
License Number (3)
PA1157
License State (3)
ME
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. David P Johnson, PA?

The NPI number of Mr. David P Johnson, PA is 1053550350. It was assigned on February 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. David P Johnson, PA?

Mr. David P Johnson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1157.

Where does Mr. David P Johnson, PA practice?

The practice location is 165 Poplar Street, Suite #1, Millinocket, ME 04462. The office can be reached at 207-723-2034 (phone) or 207-723-3006 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053550350 directly on the NPPES registry website.

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