Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hayden Otto Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710828124

Dr. Hayden Otto Johnson is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 Hospital Dr # DC043.00
Columbia, MO 65212-1000
Phone: (573) 884-1606
Fax: (573) 884-4533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710828124
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1251 S Cedar Grove Blvd, Columbia, MO 65201-8797

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