Judith R Johnson, MD | |
301 S 320th St, Federal Way, WA 98003-5200 | |
(253) 874-7000 | |
Not Available |
Full Name | Judith R Johnson |
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Gender | Female |
Speciality | Pediatrics |
Location | 301 S 320th St, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467445270 | NPI | - | NPPES |
786064 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31356 (Arizona) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Judith R Johnson, MD 301 S 320th St, Federal Way, WA 98003-5200 Ph: (253) 874-7000 | Judith R Johnson, MD 301 S 320th St, Federal Way, WA 98003-5200 Ph: (253) 874-7000 |
Catherine Delostrinos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
Corrie L Takahashi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 33501 1st Way S, Ms: A-so, Federal Way, WA 98003 Phone: 253-838-2400 Fax: 253-874-1637 | |
Pamela L. Mouser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
John Apostol, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003 Phone: 253-927-3243 Fax: 253-627-0855 | |
Deborah Ann Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34503 9th Ave South, #220, Federal Way, WA 98003 Phone: 253-927-3243 Fax: 253-627-0855 | |
Jonathan R Fox, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 | |
Minh-y Ngoc Canh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-815-8040 |