Robert G Johnson
Cardiothoracic Vascular Surgeon
3603 Bienville Blvd Suite 103
Ocean Springs
, Mississippi 39564-5727
Robert G Johnson
Cardiothoracic Vascular Surgeon
3603 Bienville Blvd Suite 103
Ocean Springs
, Mississippi 39564-5727
(228) 818-4151
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Robert G Johnson
- 3535 Bienville Blvd Provider Enrollment
- Ocean Springs, MS
- Zip : 39564-5705
- Fax : (228) 818-4151
- Phone : (228) 762-3000
Second Address
- Robert G Johnson
- 3603 Bienville Blvd Suite 103
- Ocean Springs, MS
- Zip : 39564-5727
- Fax : (228) 818-4151
- Phone : (228) 762-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 1999138149 | MO |
National Provider Identifier
| NPI | 1114021722 |
|---|---|
| Provider Name | Robert G Johnson |
| First Address | Ocean Springs, MS 39564-5705 |
| Second Address | Ocean Springs, MS 39564-5727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2006 |
| Last Update Date | 21/12/2015 |
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.