Individual
DR. NATHAN SAMUEL JOHNSON
Active
Individual
DR. NATHAN SAMUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-35584
KS
2085R0202X
Diagnostic Radiology Physician
2012009153
MO
2085R0202X
Diagnostic Radiology Physician
Primary
35C.002526
OH
2085R0202X
Diagnostic Radiology Physician
ME173377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200877220A
—
KS
05
—
200877220B
—
KS
01
—
P01094625
RR MEDICARE
KS
01
—
P01115725
RR MEDICARE
KS
01
—
P01119931
RR MEDICARE
MO
Enumeration date
04/02/2007
Last updated
05/22/2025
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