JASON DANIEL JOHNSON, PLLC (NPI# 1720597065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720597065 |
| Entity Type | Organization |
| Organization Name | JASON DANIEL JOHNSON, PLLC |
| Other Organization Name | PHX PLASTIC SURGERY |
| Practice Address |
15396 N 83rd Ave Ste B100 Peoria AZ 85381-5626 |
| Practice Telephone | 6026102999 |
| Practice Fax Number | 6233217821 |
| Mailing Telephone | 6026102999 |
| Mailing Fax Number | 6233217821 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | JASON D JOHNSON (OWNER) |
| Authorized Official Telephone | 6026102999 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
006929 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 033104 | 05 |
| Other Name | Type Code |
|---|---|
| PHX Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
15396 N 83RD AVE STE B100 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780709394 | Jason D Johnson | Plastic Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1033151162 | Eric T Elwood | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-12 |
| 1184895765 | Reid Hansen, M.d. | Surgery | 900 Main St, Suite 500, Peoria, IL 61602-1005 | 2008-03-21 |
| 1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004162 | Richard Gittings Parry | Surgery | 10602 W Cameo Dr, Sun City, AZ 85351-2708 | 2018-08-27 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1396188033 | Mark Gruszynski | Surgery | 8595 E Bell Rd Ste 103, Scottsdale, AZ 85260-1306 | 2013-04-11 |
| 1578862512 | Joshua Jacob Tofield | Surgery | 5221 E Hill Place Dr, Tucson, AZ 85712-1348 | 2011-03-16 |
| 1831334861 | Joshua Robert Olson | Surgery | 1482 E Williams Field Rd, Suite B101, Gilbert, AZ 85295-1816 | 2008-12-04 |
| 1821254517 | Daniel David Sutphin | Surgery | 2460 S Parkview Loop, Suite 201, Yuma, AZ 85364-5358 | 2008-08-01 |
| 1427253566 | Apex Plastic Surgery Pllc | Surgery | 5656 S. Power Rd, Gilbert, AZ 85295-8491 | 2007-06-19 |
| 1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
| 1861615262 | Remus Repta | Surgery | 3271 N Civic Center Plz Ste 105, Scottsdale, AZ 85251-6990 | 2007-04-11 |
| 1558402537 | James Milton Nachbar | Surgery | 8896 E Becker Ln Ste 102, Scottsdale, AZ 85260-6281 | 2007-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.