Joann Johnson, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051764 Issued in PA

Practice address

769 Keystone Industrial Park
Dunmore, PA 18512-1530

Phone

(570) 341-7777

Fax

(570) 341-7789

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Occupational Medicine & Rehabilitation Center, P.C.

  • Emergency Medicine Physician
  • Dunmore, PA
  • NPI 1104929470
  NPD (past)
• Whites Crossing Medical Group Inc

  • Internal Medicine Physician
  • Carbondale, PA
  • NPI 1649242660
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1770713380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 KEYSTONE INDUSTRIAL PARK",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121530",
            "telephone_number": "570-341-7777",
            "fax_number": "570-341-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 KEYSTONE INDUSTRIAL PARK",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121530",
            "telephone_number": "570-341-7777",
            "fax_number": "570-341-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOANN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Rose Jacobs
• Jakub Lekach, MD
• Paul Joseph Janeski, LPC
• Kaitlin Janesko, LPC
• JMW Counseling LLC
• Michelle Lee Jones, PHARMD
• Suzette Jones, NP
• Tyra Jones, BS
• Joseph E. Cronkey, M.D.,P.C.
• Joseph Swales, Registered Dietitian-Nutritionist, LLC

• Medical Physician Assistant in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.