Individual provider · Type 1 NPI

Derek B. Johnson, MD

Surgery Physician · Santa Fe, NM

NPI number 1912944661 Active

Practice location

454 Saint Michaels Dr Ste 200
Santa Fe, NM 87505

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Other practice locations

  • 100 County Road B, Shawano, WI 54166-7072 · (715) 524-2161

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X224930 (MA)
Surgery Physician 208600000X49065 (WI)
Surgery Physician Primary 208600000XMD2018-0748 (NM)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

8 other providers at this address

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About NPI 1912944661

Derek B. Johnson, MD's National Provider Identifier is 1912944661, issued on Jun 1, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Santa Fe, NM. The record was last updated on Aug 28, 2018.