Individual
JON ARTHUR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1239
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
871625
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP1992062
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430G79
MEDICARE
IN
05
—
300071437
—
IN
05
—
308985100
—
FL
01
—
G4550
BLUE CROSS BLUE SHIELD FL
FL
01
—
P00708601
RAILROAD MEDICARE
FL
Enumeration date
02/14/2008
Last updated
03/12/2025
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