Basic Information
| Provider Information | |||||||||
| NPI: | 1073620134 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT JOHNS, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 910 | ||||||||
| Address2: | |||||||||
| City: | GREENFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 013020910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137728500 | ||||||||
| FaxNumber: | 4137728900 | ||||||||
| Practice Location | |||||||||
| Address1: | 268 RIVER ST | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | VT | ||||||||
| PostalCode: | 051562306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028854561 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | JOHNS | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8028854561 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 0420008477 | VT | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | ROBE00068487 | 01 | VT | VT/BC | OTHER | OVN0324 | 05 | VT | MEDICAID | 30204940 | 05 | NH | MEDICAID | 8000343 | 01 | VT | LADIES FIRST | OTHER | 0107028Y0VT02 | 01 | NH | NH/BC | OTHER |