Dr. Philip James Johnson, MD
Dr. Philip James Johnson, MD is a Family Practice in Ft Wayne, Indiana. Graduated from Indiana University School of Medicine in 1970, 56 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 56
- Trained at
- Indiana University School of Medicine
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2418 Lake AveFt Wayne, IN 46805
Phone: (260) 422-4757
Fax: (260) 422-8375
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01023461 (IN) |
|---|
Record details
| NPI number | 1306975263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | January 31, 2008 |
| Mailing address | 2418 Lake Ave, Ft Wayne, IN 46805 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | ALLERGY/IMMUNOLOGY, GENERAL PRACTICE, GERIATRIC MEDICINE, OBSTETRICS/GYNECOLOGY |
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1970 (56 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |