Em Johnson, M.D., PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

EM JOHNSON, M.D., PLLC

Doing business as

LV Precision Surgery

Practice address

710 Coronado Center Dr Ste 200-Ej
Henderson, NV 89052-4289

Phone

(725) 356-6593

NPI assigned

Mar 5, 2024

Last updated

Jun 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Unangst

Title

Office Manager

Phone

(702) 528-6478

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LV Precision Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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.

• Elijah Michael Johnson, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1851415509
  Medicare reassignment NPD

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1952168023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY # 141",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-334-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CORONADO CENTER DR STE 200-EJ",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524289",
            "telephone_number": "725-356-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM JOHNSON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "UNANGST",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-528-6478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851415509",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LV Precision Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LV Precision Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Louis Eltgroth, MD
• Giancarlo Elumba
• Travis R Ely
• Elysium Medical Incorporated
• Stuart Elzy
• Alison Emilia Emberton, CHW I
• Brad Emens
• William Emens
• Emerald Vision Services LLC
• Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC

• Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.