Aaron Johnson MD PC
Organization Active NPI Neurology with Special Qualifications in Child Neurology Physician · Anchorage, AK
NPI 1194917641 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1194917641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- 5036 (AK)
- Legal business name
- AARON JOHNSON MD PC
- Practice address
- 3200 Providence Dr
Providence Alaska Med Ctr.
Anchorage, AK 99508-4615 - Phone
- (907) 261-3650
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Aaron Patrick Johnson, MD
- Title
- President/Ceo
- Phone
- (907) 727-9393
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | 5036 | AK | Yes |
| Clinical Neurophysiology Physician |
2084N0600X | 5036 | AK | |
| Sleep Medicine (Psychiatry & Neurology) Physician |
2084S0012X | 5036 | AK |
Addresses
Primary practice location
3200 Providence Dr
Providence Alaska Med Ctr.
Anchorage, AK 99508-4615
Mailing address
2440 E Tudor Rd
#175
Anchorage, AK 99507-1185
Phone (907) 727-9393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD50361 | Medicaid | AK |
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All providers in Anchorage, AK · Neurology with Special Qualifications in Child Neurology Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.