Active NPI
Healogics Specialty Physicians of Nevada-Johnson, PLLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Carson City, NV
National Provider Identifier
1114333853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- HEALOGICS SPECIALTY PHYSICIANS OF NEVADA-JOHNSON, PLLC
- Practice address
- 775 Fleischmann Way
Carson City, NV 89703-2995 - Phone
- (775) 445-5632
- NPI assigned
- Jul 2, 2014
- Last updated
- Mar 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Johnson
- Title
- MD
- Phone
- (855) 689-5105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | NU | Primary |
Addresses
Primary practice location
775 Fleischmann Way
Carson City, NV 89703-2995
Mailing address
PO Box 638576
Cincinnati, OH 45263-8576
National Provider Directory
National Provider DirectoryLocations
106 E Lake Mead Pkwy
Ste 107
Henderson, NV 89015
Phone (702) 616-4812
6630 S McCarran Blvd
Ste 202
Reno, NV 89509
Phone (775) 446-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Reno, NV
- NPI 1548516339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1114333853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 638576",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452638576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 FLEISCHMANN WAY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897032995",
"telephone_number": "775-445-5632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALOGICS SPECIALTY PHYSICIANS OF NEVADA-JOHNSON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-02",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "855-689-5105"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.