| Dr Shelsea Lea Johnson, MD | |
|
280 Looney Rd Ste 203, Piqua, OH 45356-4149 | |
| (937) 440-8687 | |
| Not Available |
| Full Name | Dr Shelsea Lea Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 280 Looney Rd Ste 203, Piqua, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639146822 | NPI | - | NPPES |
| 2506747 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35-08-4088 (Ohio) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 35-08-4088 (Ohio) | Primary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Entity Name | Upper Valley Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
| Entity Name | Nationwide Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851179873 PECOS PAC ID: 0042385064 Enrollment ID: O20240214002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelsea Lea Johnson, MD 300 High St Fl 4, Hamilton, OH 45011-6078 Ph: (513) 454-1460 | Dr Shelsea Lea Johnson, MD 280 Looney Rd Ste 203, Piqua, OH 45356-4149 Ph: (937) 440-8687 |
Tammy J Taylor, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 | |
Meredith Leigh Prenger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, Ste 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 | |
Dr. Paul W Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, Suite 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 |