Joseph W. Johnson, M.D., LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3304 Issued in NV

Legal business name

JOSEPH W. JOHNSON, M.D., LTD

Practice address

106 E. Lake Mead Parkway
Suite 104
Henderson, NV 89015-5534

Phone

(702) 565-8911

Fax

(702) 565-9884

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph W Johnson, M.D.

Title

President

Phone

(702) 565-8911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1699085548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E LAKE MEAD PARKWAY",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155534",
            "telephone_number": "702-565-8911",
            "fax_number": "702-565-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E. LAKE MEAD PARKWAY",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155534",
            "telephone_number": "702-565-8911",
            "fax_number": "702-565-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W. JOHNSON, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-565-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506440",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaria Jorgensen
• Jorgenson & Koka LLP
• Marcille Jorgenson, RN
• Joseph a. Wineman, DMD, PC
• Joseph Dang Medical PC
• Claudine Joseph
• Juanda Deadra Joseph
• Shoham Hadassah Joseph
• Tasha Joseph, APRN
• Wally Joseph, NP-C, PMHNP-BC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.