Philip Evan Preston Johnson, M. D.
Individual provider Active NPI Otolaryngology Physician · Rutledge, PA
NPI 1467418293 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467418293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- MD026166E (PA)
- Practice address
- 127 Linden Ave
Rutledge, PA 19070-2102 - Phone
- (610) 543-8888
- Fax
- (610) 544-7612
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Temple University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
127 Linden Ave
Rutledge, PA 19070-2102
Phone (610) 543-8888
Hospital & facility affiliations
- Riddle Memorial Hospital
- Main Line Hospital Lankenau
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141106000978 | PA | Practitioner - Otolaryngology | 2769490994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD026166E | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip E. P. Johnson, MD, PC | Otolaryngology | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD026166E | PA | Yes |
Addresses
Primary practice location
127 Linden Ave
Rutledge, PA 19070-2102
Mailing address
127 Linden Ave
Rutledge, PA 19070-2102
Phone (610) 543-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0975557 | Medicaid | PA |
Other providers in Rutledge, PA
- Susan Buchmann
- Marcy Decou
- Katherine Rose German
- Tamara A Goss
- Cara Anne Jones
- Melanie Anne Letts
- Merakey Delaware County
- Emily Michael
- Philip E. P. Johnson, MD, PC
All providers in Rutledge, PA · Otolaryngology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.