Greg R Johnson
Nephrologist
1900 Carew Street Suite 3a
Fort Wayne
, Indiana 46805-4765
Greg R Johnson
Nephrologist
1900 Carew Street Suite 3a
Fort Wayne
, Indiana 46805-4765
(260) 373-9740
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Greg R Johnson
- 1234 E Dupont Rd Suite 1
- Fort Wayne, IN
- Zip : 46825-1545
- Fax : (260) 373-9740
- Phone : (260) 373-9700
Second Address
- Greg R Johnson
- 1900 Carew Street Suite 3a
- Fort Wayne, IN
- Zip : 46805-4765
- Fax : (260) 373-6315
- Phone : (260) 373-9919
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 02001531 | IN |
National Provider Identifier
| NPI | 1013960269 |
|---|---|
| Provider Name | Greg R Johnson |
| First Address | Fort Wayne, IN 46825-1545 |
| Second Address | Fort Wayne, IN 46805-4765 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 23/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000675115 | ANTHEM (01) | IN |
| 200015220 | (05) | IN |
| E31020 | (02) | IN |
| P00895098 | R.R. MEDICARE (01) | IN |
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.