Active NPIIndividual provider

Keegan Johnson, MD

Ophthalmology in Fall River, Massachusetts

NPI Number1861542532
Practice location
1565 N Main St, Ste 406, Fall River, MA 02720-2972
Fax
508-677-0975
Last updated
January 27, 2012

Keegan Johnson is an Ophthalmology based in Fall River, MA. Keegan Johnson practices in Fall River, MA and has the professional credentials of MD. The NPI Number for Keegan Johnson is 1861542532 and holds a License No. MT188093 (PA). The current practice location address for Keegan Johnson is 1565 N Main St, Ste 406, Fall River, MA 02720-2972 and can be reached out via phone at 508-730-2020 and via fax at 508-677-0975.

Provider Profile Details

NPI Number
1861542532
Provider Name
Keegan Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1565 N Main St, Ste 406, Fall River, MA 02720-2972
Phone Number
508-730-2020
Fax Number
508-677-0975
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2007
Last Update Date
January 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1565 N Main St
Ste 406
Fall River, MA 02720-2972
Zip
02720-2972
Phone Number
508-730-2020
Fax Number
508-677-0975
Fall River, MA 02720Get directions →

Provider Business Mailing Address Details

Address
1565 N Main St
Ste 406
Fall River, MA 02720-2972
City
Fall River
State
MA
Zip
02720-2972
Phone Number
508-730-2020
Fax Number
508-677-0975

License Information

License Number (1)
MT188093
License State (1)
PA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
D70263
License State (2)
MD
Taxonomy (2)
Ophthalmology · 207W00000X
License Number (3)
MD13803
License State (3)
RI
Taxonomy (3)
Ophthalmology · 207W00000X · 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 Keegan Johnson, MD?

The NPI number of Keegan Johnson, MD is 1861542532. It was assigned on January 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Keegan Johnson, MD?

Keegan Johnson, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in PA under license number MT188093.

Where does Keegan Johnson, MD practice?

The practice location is 1565 N Main St, Ste 406, Fall River, MA 02720-2972. The office can be reached at 508-730-2020 (phone) or 508-677-0975 (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 1861542532 directly on the NPPES registry website.

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