JEREMIAH J JOHNSON MD
NPI 1104816362
Emergency Medicine, Pediatric Emergency Medicine in Lackland Afb,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 27, 2005

Contact Information

1100 Wilford Hall Loop
Lackland Afb,
Post Code: 78236
Phone: (210) 292-7331
Fax: -

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Jeremiah J Johnson Md in Lackland Afb - Emergency Medicine, Pediatric Emergency Medicine

Jeremiah J Johnson Md is a Emergency Medicine, Pediatric Emergency Medicine in Lackland Afb, . Jeremiah J Johnson Md practices all healthcare services and medical treatments related to Emergency Medicine, Pediatric Emergency Medicine. The NPI Number for Jeremiah J Johnson Md is 1104816362. The last update date is 2023-11-08.

Jeremiah J Johnson Md's current location address is 1100 Wilford Hall Loop, Lackland Afb, . You can contact this provider via phone number (210) 292-7331 and fax number -. The mailing address for Jeremiah J Johnson Md is 1100 Wilford Hall Loop, Lackland Afb, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104816362
Provider Name
JEREMIAH J JOHNSON MD
Gender
Male
Entity Type
Individual
Location Address
1100 Wilford Hall Loop, Lackland Afb,
Location Phone
(210) 292-7331
Location Fax
-
Mailing Address
1100 Wilford Hall Loop, Lackland Afb, Texas(TX)
Mailing Phone
210-292-7331
Mailing Fax
-
Enumeration Date
2005-10-27
Last Update Date
2023-11-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
-
License No.
N4498
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207PP0204X Pediatric Emergency Medicine (Emergency Medicine) Physician

Emergency Medicine, Pediatric Emergency Medicine

N4498 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5907026 MEDICAID (05) North Carolina (NC)
N0076G MEDICAID (05) South Carolina (SC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104816362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416112312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416112312
2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 2 + 3 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1104816362 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910058 WESTHEIMER VISION ASSOCIATES, PC
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713-781-3517
1093718025 YODORINCMISSIONPLAZAPHARMACY
Organization
Durable Medical Equipment & Medical Supplies 906 S BRYAN RD
MISSION, Texas (TX)
956-581-8833
1093718033 TARRANT MEDICAL IMAGING, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1063415008 ARLINGTON MEDICAL IMAGING LLC
Organization
Physiological Laboratory 3025 MATLOCK RD
ARLINGTON, Texas (TX)
817-467-6099
1023011210 MAUREEN STANEK POLAKOWSKI
Individual
Nurse Practitioner 4835 LBJ FWY STE 900
DALLAS, Texas (TX)
844-941-3087