Jason R Johnson


Address: 837 1st Colonial Rd B, Virginia Beach, VA 23451-6195

Jason R Johnson (NPI# 1730171521, PAC ID# 1153358940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1730171521
PAC ID by PECOS 1153358940
Professional Enrollment ID I20070321000665
Full Name Jason R Johnson
Address 837 1st Colonial Rd B
Virginia Beach
VA 23451-6195
Gender M
Credential MD
Medical School EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year 2002
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490119 SENTARA PRINCESS ANNE HOSPITAL
490057 SENTARA VIRGINIA BEACH GENERAL HOSPITAL
490046 SENTARA LEIGH HOSPITAL
490120 CHESAPEAKE REGIONAL MEDICAL CENTER
490007 SENTARA NORFOLK GENERAL HOSPITAL

Other Locations

Address Phone Organization
837 1st Colonial Rd B, Virginia Beach, VA 23451-6195

Organization Information

Office Location

Street Address 837 1ST COLONIAL RD B
City VIRGINIA BEACH
State VA
Zip 23451-6195

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Issel Marie Mckenzie Nurse Practitioner Westminster-canterbury On Chesapeake Bay 3100 Shore Dr, Virginia Beach, VA 23451-1199
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Lisa S Bell Nurse Practitioner Westminster-canterbury On Chesapeake Bay 3100 Shore Dr, Virginia Beach, VA 23451-1199
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Jacob T Mccrowell Physical Therapy Direct Performance Physical Therapy, LLC 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556
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Competitor

Search similar physicians

City VIRGINIA BEACH
Zip Code 23451
Specialty FAMILY MEDICINE
City + Specialty VIRGINIA BEACH + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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