Dr. William Lee Johnson

MD | Pediatric Allergy-Immunology | Male

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Complete Profile:

Dr. William Lee Johnson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Dr. William Lee Johnson
Credential :	MD
Gender :	Male

Business Address:

Dr. William Lee 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 :	1 Childrens Pl Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2694
Fax Number :	314-454-2515

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 :	1669476495
NPI Entity Type :	Individual
First Enrolment Date :	09 Jun, 2005
Last Updated On :	24 Jan, 2018

Medicare Participation:

Dr. William Lee Johnson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7810079191
Medicare Enrollment ID :	I20080124000659
Primary Specialty :	Allergy/immunology
Medical School :	University Of Missouri, Columbia School Of Medicine
Graduation Year :	1981
Accepts Medicare?	Yes. Dr. William Lee Johnson accepts medicare insurance.

Group Practice Association:

Dr. William Lee Johnson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. William Lee Johnson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
American Multispecialty Group Inc	1658365572	152	12818 Tesson Ferry Rd Suite 205 Saint Louis, MO - 631282945 Ph: 3144210663	Yes

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. William Lee Johnson are as mentioned. Primary taxonomy code for Dr. William Lee Johnson, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	R1F19	MO
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	R1F19	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. William Lee Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
ENROLLED	MEDICAID	IL
202878708	MEDICAID	MO

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 :	1 Childrens Pl, Cb 8116 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2694
Fax Number :	314-454-2515

Business Location:

Patients can refer following map for directions to Dr. William Lee 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.