Dr Justin Theo Johnson, DPM | |
1661 Highway 99 N, Ste 201, Ashland, OR 97520-8900 | |
(541) 482-4924 | |
(541) 488-1732 |
Full Name | Dr Justin Theo Johnson |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1661 Highway 99 N, Ashland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336328624 | NPI | - | NPPES |
1336328624 | Other | OR | NPI |
DP00440 | Other | OR | STATE MEDICAL LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | DPOO440 (Oregon) | Primary |
Provider Name | Justin T Johnson Dpm Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407145568 PECOS PAC ID: 1759565922 Enrollment ID: O20110412001023 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Theo Johnson, DPM 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 Ph: (541) 482-4924 | Dr Justin Theo Johnson, DPM 1661 Highway 99 N, Ste 201, Ashland, OR 97520-8900 Ph: (541) 482-4924 |
Dr. Lynn William Rawcliffe, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1661 Hwy 99 N, Suite 201, Ashland, OR 97520 Phone: 541-482-4926 Fax: 541-488-1732 | |
Oregon Foot & Ankle Surgical Specialist, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1661 Hwy 99 N, Suite 201, Ashland, OR 97520 Phone: 541-482-4924 Fax: 541-488-1732 | |
Ankle And Foot Specialists Of Southern Oregon Podiatrist Medicare: Medicare Enrolled Practice Location: 1661 Hwy 99 N Ste 201, Ashland, OR 97520 Phone: 541-482-4924 Fax: 541-488-1732 |