| Timothy David Johanson, MD | |
|
1501 N. Campbell Ave., Tucson, AZ 85724 | |
| (952) 920-9191 | |
| (952) 920-0232 |
| Full Name | Timothy David Johanson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1501 N. Campbell Ave., Tucson, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578577441 | NPI | - | NPPES |
| 1200632 | Other | MEDICA | |
| 496002500 | Medicaid | MN | |
| CP9020830013 | Other | PREFERRED ONE | |
| 47B40JO | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 33782 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 51152 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy David Johanson, MD 2701 E. Elvira Rd, Tucson, AZ 85756-7124 Ph: (520) 626-0923 | Timothy David Johanson, MD 1501 N. Campbell Ave., Tucson, AZ 85724 Ph: (952) 920-9191 |
Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000 | |
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944 | |
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111 | |
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044 | |
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666 | |
Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644 | |
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097 |