Individual
DR. NATHAN SAMUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5350
(913) 231-5161
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(913) 231-5161
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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