JEDIDIAH JOHNSON PA-C – NPI #1689155673
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JEDIDIAH JOHNSON is a radiologist located in MESA, AZ. NPPES has assigned the NPI number 1689155673 to JEDIDIAH JOHNSON on August 27, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Jan 30, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEDIDIAH JOHNSON below.

NPI Profile for
JEDIDIAH JOHNSON

NPI Number
1689155673
Enumeration Date

(about 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEDIDIAH JOHNSON
Credentials
PA-C
Primary location
6424 E BROADWAY RD STE 101
MESA, AZ 85206-1750
Phone: (480) 456-9000 Fax:
1 Other location(s):
1201 S Alma School Rd Ste 14000
Mesa, AZ 85210-2096
Phone: (480) 545-9779
Mailing address
1201 S ALMA SCHOOL RD STE 14000
MESA, AZ 85210-2096
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 AZ 7194
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEDIDIAH JOHNSON is affiliated with the following medical group(s):
  • HOSPITAL
    • BANNER BAYWOOD MEDICAL CENTER
      6644 EAST BAYWOOD AVENUE
      MESA, AZ 85206
    • BANNER CASA GRANDE MEDICAL CENTER
      1800 EAST FLORENCE BOULEVARD
      CASA GRANDE, AZ 85122
    • BANNER DESERT MEDICAL CENTER
      1400 SOUTH DOBSON ROAD
      MESA, AZ 85202
    • BANNER HEART HOSPITAL
      6750 EAST BAYWOOD AVENUE
      MESA, AZ 85206

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