DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GARY M JOHNSON PA-C

MEDICARE: GARY M JOHNSON PA-C
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
1363A00000XPhysician AssistantPA946NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700971116
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY M JOHNSON PA-C
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-323-3136
Provider Business Practice Location Address
First Line : 1055 S WELLS AVE
Second Line : SUITE 120
City : RENO
State : NV
Zip : 89502-2586
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-323-3136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/25/2015

Similar Medicare Providers

1346335940 — DR. ANTOINE A BOUDOUMIT M.D.
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-329-6300
Practice Fax: 775-348-3896
1477678720 — LONNIE LINDSTROM HYGIENIST
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-336-3021
Practice Fax: 775-348-3896
1407970734 — MARY HUDSON HYGIENIST
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-336-3021
Practice Fax: 775-348-3896
1164546594 — DEBRA MARKOFF DDS
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-336-3021
Practice Fax: 775-348-3896
1245355577 — KAREN LOYMEYER HYGIENIST
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-336-3021
Practice Fax: 775-348-3896
1346413440 — LOLITA GATOC TOLEDO
Practice Location Address:
1055 S WELLS AVE , SUITE 120
RENO, NV
89502-2586
Practice Phone: 775-329-6300
Practice Fax: 775-348-3896

Directions to “ GARY M JOHNSON PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.