Jay D. Johnson
Adolescent Medicine
3801 Lake Otis Pkwy Ste 200
Anchorage
, Alaska 99508-5234
Jay D. Johnson
Adolescent Medicine
3801 Lake Otis Pkwy Ste 200
Anchorage
, Alaska 99508-5234
(907) 212-6900
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jay D. Johnson
- 3801 Lake Otis Pkwy Ste 200
- Anchorage, AK
- Zip : 99508-5234
- Phone : (907) 212-6900
Second Address
- Jay D. Johnson
- 3801 Lake Otis Pkwy Ste 200
- Anchorage, AK
- Zip : 99508-5234
- Phone : (907) 212-6900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 4028 | OK |
National Provider Identifier
| NPI | 1023171071 |
|---|---|
| Provider Name | Jay D. Johnson |
| First Address | Anchorage, AK 99508-5234 |
| Second Address | Anchorage, AK 99508-5234 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 04/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200001850A | (05) | OK |
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.