Mr. Randy M Johnson, PA-C
Physician Assistant, Medical in Hamden, Connecticut
1073787677- Practice location
- 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694
- Phone
- 203-281-4463
- Fax
- 203-287-2930
- Last updated
- May 27, 2021
Randy M Johnson is a Physician Assistant, Medical based in Hamden, CT. Randy M Johnson practices in Hamden, CT and has the professional credentials of PA-C. The NPI Number for Randy M Johnson is 1073787677 and holds a License No. 002078 (CT). The current practice location address for Randy M Johnson is 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 and can be reached out via phone at 203-281-4463 and via fax at 203-287-2930.
Provider Profile Details
- NPI Number
- 1073787677
- Provider Name
- Randy M Johnson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694
- Phone Number
- 203-281-4463
- Fax Number
- 203-287-2930
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 15, 2008
- Last Update Date
- May 27, 2021
- Certification Date
- May 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2200 Whitney Avenue
Suite 360
Hamden, CT 06518-3694 - City
- Hamden
- State
- Connecticut
- Zip
- 06518-3694
- Phone Number
- 203-281-4463
- Fax Number
- 203-287-2930
Provider Business Mailing Address Details
- Address
- 2200 Whitney Avenue
Suite 360
Hamden, CT 06518-3694 - City
- Hamden
- State
- CT
- Zip
- 06518-3694
- Phone Number
- 203-281-4463
- Fax Number
- 203-287-2930
License Information
- License Number
- 002078
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Randy M Johnson, PA-C?
The NPI number of Mr. Randy M Johnson, PA-C is 1073787677. It was assigned on April 15, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Randy M Johnson, PA-C?
Mr. Randy M Johnson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 002078.
Where does Mr. Randy M Johnson, PA-C practice?
The practice location is 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694. The office can be reached at 203-281-4463 (phone) or 203-287-2930 (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 1073787677 directly on the NPPES registry website.