STEPHANIE JOHNSON P.A.
NPI 1104135052
Physician Assistant in Liverpool, NY

NPI Status: Active since September 27, 2010

Contact Information

5046 BETSY ROSS WAY
LIVERPOOL, NY
ZIP 13088
Phone: (315) 956-0900

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  • Individual
  • Female
  • Physician Assistant

About STEPHANIE JOHNSON

This page provides the complete NPI Profile along with additional information for Stephanie Johnson, a primary care provider established in Liverpool, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1104135052 assigned on September 2010. The practitioner's primary taxonomy code is 363A00000X with license number 014259 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1104135052
Provider Name
STEPHANIE JOHNSON P.A.
Other Name
STEPHANIE JOHNSON PA
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
5046 BETSY ROSS WAY LIVERPOOL, NY 13088
Location Phone
(315) 956-0900
Mailing Address
5046 BETSY ROSS WAY LIVERPOOL, NY 13088
Mailing Phone
(315) 956-0900
Is Sole Proprietor?
No
Enumeration Date
09-27-2010
Last Update Date
07-06-2021
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A primary care provider (PCP) like Stephanie Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
014259
License State
NY
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

9108630 (FL)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

4777 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
03537042MEDICAID (05)NY 

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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.
1104135052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21042310010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 3 + 1 + 0 + 0 + 1 + 0 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1104135052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104135052, enumerated in the NPI registry as an "individual" on September 27, 2010

The provider is located at 5046 Betsy Ross Way Liverpool, Ny 13088 and the phone number is (315) 956-0900

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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