Derek B. Johnson, M.D.
Surgery Physician · Santa Fe, NM
Practice location
454 Saint Michaels Dr Ste 200Santa Fe, NM 87505
- Phone
- (505) 303-5000
NPI record
- NPI
- 1912944661
- Entity type
- Individual (Type 1)
- Enumeration date
- June 1, 2006
- Last updated
- August 28, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
MD2018-0748 | NM |
| Surgery Physician | 208600000X |
224930 | MA |
| Surgery Physician | 208600000X |
49065 | WI |
Mailing address
PO Box 26666PHS Provider Enrollment
Albuquerque, NM 87125-6666
- Phone
- (505) 923-6770
- Fax
- (505) 923-5354
Other practice locations (1)
- 100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161
About Dr. Johnson
Derek B. Johnson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505. The NPI number 1912944661 was assigned on June 1, 2006 and the record was last updated on August 28, 2018.
Dr. Johnson lists 3 licenses in the registry: #MD2018-0748 (NM) for Surgery Physician; #224930 (MA) for Surgery Physician; #49065 (WI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derek B. Johnson, M.D.?
The NPI number is 1912944661.
What is the phone number of Dr. Johnson?
The phone number listed for the practice location is (505) 303-5000.
Where is Dr. Johnson located?
454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505.
What is the taxonomy code for Dr. Johnson?
The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.
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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