Timothy Shane Johnson
Surgeon Plastic Hand Surgeon
30 Hope Dr Ste 1860
Hershey
, Pennsylvania 17033-2036
Timothy Shane Johnson
Surgeon Plastic Hand Surgeon
30 Hope Dr Ste 1860
Hershey
, Pennsylvania 17033-2036
(800) 243-1455
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Timothy Shane Johnson
- Po Box 858 Mc A410
- Hershey, PA
- Zip : 17033-0858
- Phone : (800) 243-1455
Second Address
- Timothy Shane Johnson
- 30 Hope Dr Ste 1860
- Hershey, PA
- Zip : 17033-2036
- Fax : (717) 531-0098
- Phone : (717) 531-8952
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | MD424449 | PA |
| Y | 208600000X | Surgeon | MD424449 | PA |
| N | 2082S0105X | Plastic Hand Surgeon | MD424449 | PA |
National Provider Identifier
| NPI | 1144245911 |
|---|---|
| Provider Name | Timothy Shane Johnson |
| First Address | Hershey, PA 17033-0858 |
| Second Address | Hershey, PA 17033-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 13/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1016969880001 | (05) | PA |
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.