Amanda C. Johnson
M.D. | Pediatric Critical Care Medicine | Female
Amanda C. Johnson, M.D. is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Amanda C. Johnson is
55 Lake Ave N, Worcester, Massachusetts - 01655-0002. She can be contacted on phone at
774-442-2164 and fax number 774-443-2062.
Amanda C. Johnson is a sole proprietor of her business.
NPI number (Unique professional ID) for Amanda C. Johnson is
1285995589 which was assigned by NPPES on 04 Jun, 2012 and it was last updated on 10 Nov, 2020.
Amanda C. Johnson license number is
262592 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Massachusetts.
Amanda C. Johnson is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Amanda C. Johnson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Amanda C. Johnson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Amanda C. Johnson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N
Worcester, MA, 01655-0002
United States |
|---|
| Phone Number : | 774-442-2164 |
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| Fax Number : | 774-443-2062 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285995589 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jun, 2012 |
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| Last Updated On : | 10 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda C. Johnson are as mentioned. Primary taxonomy code for Amanda C. Johnson, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 262592 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Amanda C. Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110099386A | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ajohnson30180@UmassMemorial.direct-ci.com
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-5348
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Amanda C. Johnson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.