Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERIMIAH JOHNSON, M.D.
ActiveFamily Medicine · EDMOND, OK
Registration Details
- NPI Number
- 1770998429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2014 (11.870212015883 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
32698 (OK)R-10027 (IA)
Practice Information
- Address
-
1208 W 15TH STEDMOND, OK, 730133001Browse OK providers · Browse ZIP 73013
- Phone
- 4053402100
- Fax
- 4053401184
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in EDMOND, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JENNY LE | MD | 1053315937 |
| DR. JACKIE GARLAND | — | 1164417044 |
| GRAND FU KWOK WONG | MD | 1730175340 |
| DR. JANICE TUOHY | D.O. | 1154319234 |
| MR. RAY ANTOINE DRAIN | MD | 1629050927 |
| IAN ST GEORGE THOMPSON | MD | 1184606873 |
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.