Basic Information
| Provider Information | |||||||||
| NPI: | 1396005955 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOHNSON | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD/MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5620 W 85TH ST | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662071648 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9139803247 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1015 CHESTNUT ST | ||||||||
| Address2: | SUITE 620 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159556864 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2012 | ||||||||
| LastUpdateDate: | 03/29/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD453002 | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.