Active NPIIndividual provider

Dr. Christa Johnson, MD

Pediatrics, Adolescent Medicine in Shelton, Connecticut

NPI Number1356364012
Practice location
25 Constitution Blvd S, Shelton, CT 06484-4351
Fax
203-922-0004
Last updated
December 29, 2016

Christa Johnson is a Pediatrics, Adolescent Medicine based in Shelton, CT. Christa Johnson practices in Shelton, CT and has the professional credentials of MD. The NPI Number for Christa Johnson is 1356364012 and holds a License No. 036446 (CT). The current practice location address for Christa Johnson is 25 Constitution Blvd S, Shelton, CT 06484-4351 and can be reached out via phone at 203-924-7334 and via fax at 203-922-0004.

Provider Profile Details

NPI Number
1356364012
Provider Name
Christa Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
25 Constitution Blvd S, Shelton, CT 06484-4351
Phone Number
203-924-7334
Fax Number
203-922-0004
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2006
Last Update Date
December 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Constitution Blvd S
Shelton, CT 06484-4351
Zip
06484-4351
Phone Number
203-924-7334
Fax Number
203-922-0004
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
25 Constitution Blvd S
Shelton, CT 06484-4351
City
Shelton
State
CT
Zip
06484-4351
Phone Number
203-924-7334
Fax Number
203-922-0004

License Information

License Number
036446
License State
CT
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · 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 Dr. Christa Johnson, MD?

The NPI number of Dr. Christa Johnson, MD is 1356364012. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Christa Johnson, MD?

Dr. Christa Johnson, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in CT under license number 036446.

Where does Dr. Christa Johnson, MD practice?

The practice location is 25 Constitution Blvd S, Shelton, CT 06484-4351. The office can be reached at 203-924-7334 (phone) or 203-922-0004 (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 1356364012 directly on the NPPES registry website.

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