MEDICARE: WARREN JOHNSON DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PD144R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1750390142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN JOHNSON DPM

Provider Business Mailing Address
First Line	:	6305 ELYSIAN FIELDS AVE
Second Line	:	204
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-4245
Country	:	US
Telephone Number	:	504-286-0202
Fax Number	:	504-286-0702

Provider Business Practice Location Address
First Line	:	6305 ELYSIAN FIELDS AVE
Second Line	:	204
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-4245
Country	:	US
Telephone Number	:	504-286-0202
Fax Number	:	504-286-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	05/13/2011

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Directions to “ WARREN JOHNSON DPM” Practice Location

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