Active NPIIndividual provider

Johnny S Jarnagin Jr., MD

Physical Medicine & Rehabilitation in Boston, Massachusetts

NPI Number1659935351
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
August 1, 2024

Johnny Sheldon Jarnagin is a Physical Medicine & Rehabilitation based in Boston, MA. Johnny Sheldon Jarnagin practices in Boston, MA and has the professional credentials of MD. The NPI Number for Johnny Sheldon Jarnagin is 1659935351 and holds a License No. 1016958 (MA). The current practice location address for Johnny Sheldon Jarnagin is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 978-420-9338.

Provider Profile Details

NPI Number
1659935351
Provider Name
Johnny Sheldon Jarnagin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
978-420-9338
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2019
Last Update Date
August 1, 2024
Certification Date
August 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
978-420-9338
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
15 Yale St Unit A
Medford, MA 02155-6029
City
Medford
State
MA
Zip
02155-6029
Phone Number
978-420-9338

License Information

License Number
1016958
License State
MA
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · 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 Johnny S Jarnagin Jr., MD?

The NPI number of Johnny S Jarnagin Jr., MD is 1659935351. It was assigned on April 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Johnny S Jarnagin Jr., MD?

Johnny S Jarnagin Jr., MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in MA under license number 1016958.

Where does Johnny S Jarnagin Jr., MD practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 978-420-9338 (phone).

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 1659935351 directly on the NPPES registry website.

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