Dr. Jason Dean Johnson
Family Doctor Family Doctor - Sports Medicine
1807 W Slaughter Ln Ste 490
Austin
, Texas 78748-6208
Dr. Jason Dean Johnson
Family Doctor Family Doctor - Sports Medicine
1807 W Slaughter Ln Ste 490
Austin
, Texas 78748-6208
(512) 406-6216
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jason Dean Johnson
- 4515 Seton Center Parkway Suite 215-Credentialing
- Austin, TX
- Zip : 78755-0726
- Fax : (512) 406-6216
- Phone :
Second Address
- Dr. Jason Dean Johnson
- 1807 W Slaughter Ln Ste 490
- Austin, TX
- Zip : 78748-6208
- Fax : (512) 292-5125
- Phone : (512) 282-8967
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | P0909 | TX |
| N | 207QS0010X | Family Doctor - Sports Medicine | 036100533 | IL |
National Provider Identifier
| NPI | 1295727410 |
|---|---|
| Provider Name | Dr. Jason Dean Johnson |
| First Address | Austin, TX 78755-0726 |
| Second Address | Austin, TX 78748-6208 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 09/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 216741895001 | ANTHEM (01) | |
| 285993601 | (05) | TX |
| 285993602 | (05) | TX |
| 34738800 | (05) | WI |
| 36100533 | (05) | IL |
| H07512 | (02) | IL |
| P00406743 | MEDICARE RR (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.