Theodore L. Johnson, MD

Pediatrics Physician · Bennington, VT

Individual Active NPI

NPI number 1831172485

Practice location

194 North Street
Bennington, VT 05201
Phone
(802) 442-2264
Fax
(802) 442-2337

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NPI record

NPI
1831172485
Entity type
Individual (Type 1)
Enumeration date
November 28, 2005
Last updated
October 3, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 0420006640 VT

About Dr. Johnson

Theodore L. Johnson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 194 North Street, Bennington, VT 05201. The NPI number 1831172485 was assigned on November 28, 2005 and the record was last updated on October 3, 2011.

Dr. Johnson lists a license in the registry: #0420006640 (VT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore L. Johnson, MD?

The NPI number is 1831172485.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (802) 442-2264.

Where is Dr. Johnson located?

194 North Street, Bennington, VT 05201.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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