Dr. Charisse D Johnson
MD | Pediatrics | Female
Dr. Charisse D Johnson, MD is a Granger, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Charisse D Johnson is
229 Florence Ave Ste 233, Granger, Indiana - 46530-8048. She can be contacted on phone at
574-855-4575 and fax number 833-314-0410.
Dr. Charisse D Johnson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Charisse D Johnson is
1134399025 which was assigned by NPPES on 06 Mar, 2008 and it was last updated on 12 Jan, 2021.
Dr. Charisse D Johnson license number is
01068390A for Pediatrics (208000000X) in Indiana.
Dr. Charisse D Johnson is a pediatrician who 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.
Complete Profile:
Dr. Charisse D Johnson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Charisse D Johnson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Charisse D 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 : | 229 Florence Ave Ste 233
Granger, IN, 46530-8048
United States |
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| Phone Number : | 574-855-4575 |
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| Fax Number : | 833-314-0410 |
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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 : | 1134399025 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Mar, 2008 |
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| Last Updated On : | 12 Jan, 2021 |
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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 Dr. Charisse D Johnson are as mentioned. Primary taxonomy code for Dr. Charisse D Johnson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01068390A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Charisse D Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200987950 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
100 NAVARRE PL STE 4440,
SOUTH BEND, IN, 46601-1171
United States | SOUTH BEND, IN | 574-647-4540 |
7150 CLEARVISTA DR,
INDIANAPOLIS, IN, 46256-1695
United States | INDIANAPOLIS, IN | 317-621-9650 |
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 : | 229 Florence Ave Ste 233
Granger, IN, 46530-8048
United States |
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| Phone Number : | 574-855-4575 |
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Business Location:
Patients can refer following map for directions to
Dr. Charisse D 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.