Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841270618 Individual Practitioner Female Practitioner

Dr. Sue B Johnson , MD

Pediatrics • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Sue Johnson, MD is a registered healthcare professional specializing in Pediatrics in Phoenix, AZ. Practice services are available at 12635 N 42ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12635 N 42nd St

Phoenix, AZ 850327601

Telephone 6024945500

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 24044

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
351693 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Joseph Gaddam , PA

Physician Assistant

NPI 1376523407

Physician Assistant

Dr. Ronald Habros , MD

Family Medicine

NPI 1467432567

Doctor of Medicine (M.D.)

Dr. Jason Angle , MD

Family Medicine

NPI 1649238403

Doctor of Medicine (M.D.)

Margaret Vitagliano , PA

Physician Assistant - Medical

NPI 1679543243

Physician Assistant

Dr. Laura Adler , MD

Family Medicine

NPI 1912986498

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12635 N 42ND ST, PHOENIX, AZ 850327601 (Tel: 6024945500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12635 N 42ND ST, PHOENIX, AZ 850327601 (Tel: 6024945500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUE JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #24044 in AZ)

🟢
Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841270618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

12635 N 42nd St

Phoenix, AZ 850327601

Phone: 6024945500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.