MEDICARE: REBECCA J. JOHNSON D.P.M.

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	213E00000X	Podiatrist	12-00348	KS

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	:	1841366242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA J. JOHNSON D.P.M.

Provider Business Mailing Address
First Line	:	501 S SANTA FE AVE STE 200
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4189
Country	:	US
Telephone Number	:	785-452-6211
Fax Number	:	785-452-6216

Provider Business Practice Location Address
First Line	:	501 S SANTA FE AVE STE 200
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-4189
Country	:	US
Telephone Number	:	785-452-6211
Fax Number	:	785-452-6216

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	03/03/2026

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