Phx Plastic Surgery

LBN: Jason Daniel Johnson, Pllc
Phx Plastic Surgery is an health care organization with primary practice located at 15396 N 83Rd Ave Ste B100 , Peoria AZ 85381-5626. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Jason Daniel Johnson, Pllc can be contacted via phone (602) 610-2999, or through Johnson, Jason D via phone (602) 610-2999.

Contact Information

Primary practice address
15396 N 83Rd Ave Ste B100 Peoria AZ 85381-5626
Phone: (602) 610-2999
Fax: (623) 321-7821
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jason D Doctor of Osteopathy (DO)
Phone: (602) 610-2999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 006929 Arizona

Profile Details

NPI number 1720597065
LBN Legal business name Jason Daniel Johnson, Pllc
DBA Doing business as Phx Plastic Surgery
Authorized official Johnson, Jason D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2017
Last updated Apr 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720597065 NPPES
Arizona MEDICAID 033104

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