Individual
DR. ROBERT M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
190032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025578401
UNIVERA PROVIDER ID
NY
01
—
000915578001
BS WNY/HEALTHNOW ID
NY
05
—
01388063
—
NY
01
—
050063375
RAILROAD MEDICARE
NY
01
—
190032-3
WORKER'S COMP
NY
01
—
2222
BLUE SHIELD GROUP ID
NY
01
—
5361500
AETNA PROVIDER ID
NY
01
—
5399010
GHI PROVIDER ID
NY
01
—
G0189393590
BLUE CHOICE GROUP ID
NY
01
—
MDC631
PREFERRED CARE
NY
01
—
P010190032
BLUE CHOICE
NY
Enumeration date
07/19/2006
Last updated
07/05/2023
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