Active NPIIndividual providerSole proprietor

Theodore L Johnson, MD

Pediatrics in Bennington, Vermont

NPI Number1831172485
Practice location
194 North Street, Bennington, VT 05201
Fax
802-442-2337
Last updated
October 3, 2011

Theodore L Johnson is a Pediatrics based in Bennington, VT. Theodore L Johnson practices in Bennington, VT and has the professional credentials of MD. The NPI Number for Theodore L Johnson is 1831172485 and holds a License No. 0420006640 (VT). The current practice location address for Theodore L Johnson is 194 North Street, Bennington, VT 05201 and can be reached out via phone at 802-442-2264 and via fax at 802-442-2337.

Provider Profile Details

NPI Number
1831172485
Provider Name
Theodore L Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
194 North Street, Bennington, VT 05201
Phone Number
802-442-2264
Fax Number
802-442-2337
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2005
Last Update Date
October 3, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 North Street
Bennington, VT 05201
State
Vermont
Zip
05201
Phone Number
802-442-2264
Fax Number
802-442-2337
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
194 North Street
Bennington, VT 05201
City
Bennington
State
VT
Zip
05201
Phone Number
802-442-2264
Fax Number
802-442-2337

License Information

License Number
0420006640
License State
VT
Taxonomy
Pediatrics · 208000000X · 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 Theodore L Johnson, MD?

The NPI number of Theodore L Johnson, MD is 1831172485. It was assigned on November 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Theodore L Johnson, MD?

Theodore L Johnson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VT under license number 0420006640.

Where does Theodore L Johnson, MD practice?

The practice location is 194 North Street, Bennington, VT 05201. The office can be reached at 802-442-2264 (phone) or 802-442-2337 (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 1831172485 directly on the NPPES registry website.

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