Individual provider Active NPI

David Rue Johnson, MD, MPH

  • Pediatrics Physician
  • Swiftwater, PA
National Provider Identifier
1063680924
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD423917 Issued in PA
Practice address
Sanofi Pasteur
One Discovery Drive
Swiftwater, PA 18370-9100
Phone
(570) 957-1506
Fax
(866) 322-0596
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD423917 PA Primary

Addresses

Primary practice location

Sanofi Pasteur
One Discovery Drive
Swiftwater, PA 18370-9100

Mailing address

Sanofi Pasteur
One Discovery Drive, Building 60
Swiftwater, PA 18370-9100
Phone (570) 957-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1063680924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANOFI PASTEUR",
            "address_2": "ONE DISCOVERY DRIVE, BUILDING 60",
            "city": "SWIFTWATER",
            "state": "PA",
            "postal_code": "183709100",
            "telephone_number": "570-957-1506",
            "fax_number": "866-322-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANOFI PASTEUR",
            "address_2": "ONE DISCOVERY DRIVE",
            "city": "SWIFTWATER",
            "state": "PA",
            "postal_code": "183709100",
            "telephone_number": "570-957-1506",
            "fax_number": "866-322-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "RUE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD423917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swiftwater, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.