Sandra D Johnson, MD
Family Medicine in Fairhaven, Massachusetts
1639153596- Practice location
- 208 Mill Road, Fairhaven, MA 02719-5252
- Phone
- 508-973-2432
- Fax
- 508-973-2435
- Last updated
- April 22, 2020
Sandra Diane Johnson is a Family Medicine based in Fairhaven, MA. Sandra Diane Johnson practices in Fairhaven, MA and has the professional credentials of MD. The NPI Number for Sandra Diane Johnson is 1639153596 and holds a License No. MD11384 (RI). The current practice location address for Sandra Diane Johnson is 208 Mill Road, Fairhaven, MA 02719-5252 and can be reached out via phone at 508-973-2432 and via fax at 508-973-2435.
Provider Profile Details
- NPI Number
- 1639153596
- Provider Name
- Sandra Diane Johnson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 208 Mill Road, Fairhaven, MA 02719-5252
- Phone Number
- 508-973-2432
- Fax Number
- 508-973-2435
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 5, 2005
- Last Update Date
- April 22, 2020
- Certification Date
- April 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Mill Road
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-5252
- Phone Number
- 508-973-2432
- Fax Number
- 508-973-2435
Provider Business Mailing Address Details
- Address
- 200 Mill RD
Suite 180
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- MA
- Zip
- 02719-5252
- Phone Number
- 508-973-2000
- Fax Number
- 508-973-2001
License Information
- License Number (1)
- MD11384
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 231054
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · 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 Sandra D Johnson, MD?
The NPI number of Sandra D Johnson, MD is 1639153596. It was assigned on December 5, 2005 and is currently active in the NPPES registry.
What is the specialty of Sandra D Johnson, MD?
Sandra D Johnson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number MD11384.
Where does Sandra D Johnson, MD practice?
The practice location is 208 Mill Road, Fairhaven, MA 02719-5252. The office can be reached at 508-973-2432 (phone) or 508-973-2435 (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 1639153596 directly on the NPPES registry website.