Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD055443L | PA |
N | 208600000X | Surgeon | MD055443L | PA |
Y | 2086X0206X | Surgical Oncologist | MD055443L | PA |
NPI | 1164429353 |
---|---|
Provider Name | Dennis E Johnson |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016189420006 | (05) | PA |
052992 | HIGHMARK BLUE SHIELD (01) | PA |
30158377 | AMERIHEALTH CARITAS - WMG (01) | PA |
420530 | UPMC (01) | PA |
F35737 | (02) | PA |