DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY SCOTT JOHNSON, M.D.

Active

DR. JEREMY SCOTT JOHNSON, M.D. is a Obstetrics & Gynecology healthcare provider located in URBANA, Illinois. NPI 1548249097 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · URBANA, IL

Registration Details

NPI Number
1548249097
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2006 (20.558999270298 yrs)
Last Updated
Apr 21, 2015
Licenses
20869 (OK)
MD2007-0689 (NM)
036136882 (IL)

Practice Information

Address
611 W. PARK ST.
OB/GYN
URBANA, IL, 618012500
Browse IL providers · Browse ZIP 61801
Phone
2173833140
Fax
2173834966
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in URBANA, IL

Name Credential NPI
MICHAEL SHANE HENNESY MD 1932194016
JAY S KELLER M.D. 1790760544
OORMILA P KOVILAM MD 1659307189
MELINDA A DABROWSKI M.D. 1124053848
NANCY E FAY MD 1215956099
REBECCA A WAGNER MD 1023110186
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.