Individual
DR. SUSAN SCHUCK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 W NIFONG STE 101, COLUMBIA, MO 65203
(573) 499-9009
(573) 499-4400
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 499-9009
(573) 499-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404040
UNITED HEALTHCARE
MS
01
—
102600
HEALTHLINK
MO
01
—
127771
GROUP HEALTH PLANS
MO
01
—
5422
BLUE CROSS BLUE SHIELD
MS
01
—
669715
FIRST HEALTH
MS
01
—
A002
TRICARE IND
MO
01
—
AI3068
MERCY
MO
01
—
P00187205
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
01/22/2016
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