David Ellsworth Johnson
M.D. | Pediatrics | Male
David Ellsworth Johnson, M.D. is a Ketchikan, Alaska based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of David Ellsworth Johnson is
3100 Tongass Ave, Ketchikan, Alaska - 99901-5746. He can be contacted on phone at
907-225-4463.
David Ellsworth Johnson is a sole proprietor of his business.
NPI number (Unique professional ID) for David Ellsworth Johnson is
1396803763 which was assigned by NPPES on 05 Dec, 2006 and it was last updated on 08 Jul, 2007.
David Ellsworth Johnson license number is
1160 for Pediatrics (208000000X) in Alaska.
David Ellsworth 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:
David Ellsworth Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | David Ellsworth Johnson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
David Ellsworth 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 : | 3100 Tongass Ave
Ketchikan, AK, 99901-5746
United States |
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| Phone Number : | 907-225-4463 |
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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 : | 1396803763 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 David Ellsworth Johnson are as mentioned. Primary taxonomy code for David Ellsworth Johnson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 1160 | AK |
Legacy Identifiers:
Other legacy medical identifiers of David Ellsworth Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| MD1213 | MEDICAID | AK | |
| R004 | Other | AK | TRICARE |
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 6852
Ketchikan, AK, 99901-1852
United States |
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| Phone Number : | 907-225-6396 |
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| Fax Number : | 907-247-5951 |
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Business Location:
Patients can refer following map for directions to
David Ellsworth 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.