Healthcare Provider Details

I. General information

NPI: 1841786894
Provider Name (Legal Business Name): ELIZABETH JOHNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 CHERRY ST STE 307
TOLEDO OH
43608-2672
US

IV. Provider business mailing address

2409 CHERRY ST STE 307
TOLEDO OH
43608-2672
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-4873
  • Fax: 419-251-0656
Mailing address:
  • Phone: 419-251-4873
  • Fax: 419-251-0656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number35.156512
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2018021495
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number4351051843
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: