DAVID ELLSWORTH JOHNSON M.D. - NPI 1396803763

Q: What is David Johnson's NPI number?

The NPI number for David Johnson is 1396803763. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is David Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for David Johnson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About David Ellsworth Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID ELLSWORTH JOHNSON M.D. (NPI 1396803763) is an individual pediatrics provider in Ketchikan, Alaska, licensed in Alaska (1160) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1396803763

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDAVID ELLSWORTH JOHNSONCredential: M.D.

Location Address3100 TONGASS AVEKetchikan, AK 99901-5746

Mailing AddressPo Box 6852Ketchikan, AK 99901-1852 · (907) 225-6396 · Fax (907) 247-5951

Phone(907) 225-4463

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396803763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AK · 1160

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3100 TONGASS AVE, Ketchikan, AK 99901

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