Todd L Johnson
Internist - Cardiovascular Disease
4466 Fulton Dr Nw
Canton
, Ohio 44718-2864
Todd L Johnson
Internist - Cardiovascular Disease
4466 Fulton Dr Nw
Canton
, Ohio 44718-2864
(330) 489-1258
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Todd L Johnson
- 4466 Fulton Dr Nw
- Canton, OH
- Zip : 44718-2864
- Fax : (330) 489-1258
- Phone : (330) 489-1386
Second Address
- Todd L Johnson
- 4466 Fulton Dr Nw
- Canton, OH
- Zip : 44718-2864
- Fax : (330) 489-1258
- Phone : (330) 489-1386
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 35-06-2104-J | OH |
National Provider Identifier
| NPI | 1003850710 |
|---|---|
| Provider Name | Todd L Johnson |
| First Address | Canton, OH 44718-2864 |
| Second Address | Canton, OH 44718-2864 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 11/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0253256 | (05) | OH |
| 1003850710 | MEDICARE RAILROAD (01) | |
| G26340 | (02) | OH |
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.