Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578577441 Individual Practitioner Male Practitioner

Dr. Timothy David Johanson , MD

Pediatrics • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Johanson, MD is a registered healthcare professional specializing in Pediatrics in Tucson, AZ. Practice services are available at 1501 N. CAMPBELL AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 N. Campbell Ave.

Tucson, AZ 85724

Telephone 9529209191
Fax 9529200232
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
299 Specialists

Practicing in Tucson, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% 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 51152

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MN 33782

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
496002500 (MN)
Commercial Insurance / Payer ID Medica
1200632
Commercial Insurance / Payer ID Preferred One
CP9020830013
Commercial Insurance / Payer ID Blue Cross Blue Shield
47B40JO (MN)

Practice Associates & Co-Workers

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

23 Associated Practitioners
NPI 1003830613

Doctor of Medicine (M.D.)

NPI 1073527156

Doctor of Medicine (M.D.)

NPI 1134564958

Doctor of Medicine (M.D.)

NPI 1164985917

Doctor of Osteopathic Medicine (D.O.)

NPI 1174537054

Doctor of Medicine (M.D.)

NPI 1194739078

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 February 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2016

Registered at 1501 N. CAMPBELL AVE., TUCSON, AZ 85724 (Tel: 9529209191)

📍
Updated Business Mailing Address February 08, 2016

Registered at 2701 E. ELVIRA RD, TUCSON, AZ 857567124 (Tel: 5206260923)

👤
Provider Name / Credentials Updated February 08, 2016

Recorded as TIMOTHY JOHANSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2016

Pediatrics (License #51152 in AZ)

🟢
Initial NPI Registration & Enumeration July 28, 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: 1578577441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: February 08, 2016
Sole Proprietor: No

Mailing Address

2701 E. Elvira Rd

Tucson, AZ 857567124

Phone: 5206260923

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.