Jason Daniel Johnson, PLLC
NPI 1720597065ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Peoria, AZ
Surgery, Plastic and Reconstructive Surgery in Peoria, Arizona, registered in NPPES in September 2017. The authorized official on file is Jason D. Johnson, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720597065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2017 |
| Last updated in NPPES | Apr 6, 2020 |
| Certified by provider | Apr 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | 006929 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|