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NPI Code Detail

MEDICARE: GREGORY G JOHNSON MD

MEDICARE: GREGORY G JOHNSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35-048254OH
2207V00000XObstetrics & Gynecology Physician35048254OH
3207QA0401XAddiction Medicine (Family Medicine) Physician35.048254OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285669481
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY G JOHNSON MD
Provider Business Mailing Address
First Line : 725 E MARKET ST
Second Line :
City : AKRON
State : OH
Zip : 44305-2421
Country : US
Telephone Number : 330-434-4141
Fax Number : 330-315-5230
Provider Business Practice Location Address
First Line : 999 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1456
Country : US
Telephone Number : 513-834-7063
Fax Number : 513-873-1567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 04/11/2024

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