Timothy David Johanson
M.D. | Pediatrics | Male
Timothy David Johanson, M.D. is a Tucson, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Timothy David Johanson is
1501 N. Campbell Ave., Tucson, Arizona - 85724. He can be contacted on phone at
952-920-9191 and fax number 952-920-0232.
Timothy David Johanson is a sole proprietor of his business.
NPI number (Unique professional ID) for Timothy David Johanson is
1578577441 which was assigned by NPPES on 28 Jul, 2006 and it was last updated on 08 Feb, 2016.
Timothy David Johanson license number is
51152 for Pediatrics (208000000X) in Arizona.
Timothy David Johanson 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:
Timothy David Johanson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Timothy David Johanson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Timothy David Johanson 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 : | 1501 N. Campbell Ave.
Tucson, AZ, 85724
United States |
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| Phone Number : | 952-920-9191 |
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| Fax Number : | 952-920-0232 |
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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 : | 1578577441 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jul, 2006 |
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| Last Updated On : | 08 Feb, 2016 |
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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 Timothy David Johanson are as mentioned. Primary taxonomy code for Timothy David Johanson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 33782 | MN |
| 208000000X | Pediatrics | Yes | 51152 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Timothy David Johanson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1200632 | Other | | MEDICA |
| CP9020830013 | Other | | PREFERRED ONE |
| 496002500 | MEDICAID | MN | |
| 47B40JO | Other | MN | BLUE CROSS BLUE SHIELD |
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 : | 2701 E. Elvira Rd
Tucson, AZ, 85756-7124
United States |
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| Phone Number : | 520-626-0923 |
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| Fax Number : | 520-626-2808 |
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Business Location:
Patients can refer following map for directions to
Timothy David Johanson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.