Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY A JOHNSON, MD
ActiveGARY A JOHNSON, MD is a Gynecologic Oncology healthcare provider located in PEORIA, Illinois. NPI 1083682660 is currently active in the NPPES registry. Verify at CMS.
Gynecologic Oncology · PEORIA, IL
Registration Details
- NPI Number
- 1083682660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.393726248288 yrs)
- Last Updated
- Jan 10, 2019
- Licenses
-
18538 (OK)04-34519 (KS)2012029926 (MO)036.12058 (IL)
Practice Information
- Address
-
8940 N WOOD SAGE RDPEORIA, IL, 616157822Browse IL providers · Browse ZIP 61615
- Phone
- 3092433000
- Fax
- 3092433000
- Primary Specialty
-
Gynecologic Oncology
207VX0201X
- Additional Specialty
- Gynecologic Oncology
- Additional Specialty
- Gynecologic Oncology
- Additional Specialty
- Gynecologic Oncology
Other Gynecologic Oncology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| KENNTH ALAN HODEL | MD | 1134197833 |
| DR. REBECCA JANE BYLER DANN | M.D., M.P.H. | 1114126364 |
| DANIEL CHAN | MD, PHD | 1902224074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.