Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAD CARL JOHNSON, PA-C
ActiveSHAD CARL JOHNSON, PA-C is a Medical Physician Assistant healthcare provider located in POCATELLO, Idaho. NPI 1114028354 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · POCATELLO, ID
Registration Details
- NPI Number
- 1114028354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.927983380749 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA-629 (ID)
Practice Information
- Address
-
1151 HOSPITAL WAY BLDG APOCATELLO, ID, 832012763Browse ID providers · Browse ZIP 83201
- Phone
- 2082326616
- Fax
- 2082326618
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. HELENA M. B. RIZOR | PA | 1073513065 |
| DAVID E MARTIN | PA-C | 1215929690 |
| LESLIE JEAN MCGOVERN | PA-C, MHE, ATC, LAT | 1831184712 |
| TRUDY BEARDEN | PA-C | 1639151848 |
| MR. PAUL BIENIASZ | PA-C | 1518934181 |
| DEBRA R RAY | PA | 1730149865 |
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.