National Provider Identifier
Jarred Johnson, M.D.
Jarred Johnson, M.D. is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Ithaca, NY and a listed phone number of (607) 277-2365.
Profile Overview
- NPI
- 1669761821
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- March 28, 2011
- Last Updated
- January 09, 2018
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 277-2365
Mailing Address
- 1301 Trumansburg RD
- Suite P
- Ithaca, NY 14850-1397
Specialties
- Hospitalist Physician (208M00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1669761821
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Jarred
- Credential
- M.D.
- Mailing Street Address
- 1301 Trumansburg RD
- Mailing Address Line 2
- Suite P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (607) 277-2365
- Mailing Fax
- (607) 277-0104
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 277-2365
- Practice Fax
- (607) 277-0104
- Enumeration Date
- March 28, 2011
- Last Updated
- January 09, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)