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Deactivated NPI 1053540310 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Lee Johnson , MD FACS

Urology • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2009
NPI Deactivation Date March 29, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Johnson, MD FACS was a registered Urology practicing in Albuquerque, NM. Throughout an active medical career spanning 9 years, Dr. Johnson provided care at the practice location at 27 SANDIA HTS DR. until profile deactivation on 2018-03-29.

Practice Location & Contact Primary Location

Practice Address

27 Sandia Hts Dr.

Albuquerque, NM 87122

Telephone 5058566519

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.2 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Albuquerque, NM (63 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

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NM 6360

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 29, 2018

Record deactivated on March 29, 2018

NPI Profile Active July 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2009

Registered at 27 SANDIA HTS DR., ALBUQUERQUE, NM 87122 (Tel: 5058566519)

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Updated Business Mailing Address July 08, 2009

Registered at 27 SANDIA HTS DR., ALBUQUERQUE, NM 87122 (Tel: 5058566519)

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Provider Name / Credentials Updated July 08, 2009

Recorded as EDWARD JOHNSON, M.D. FACS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2009

Urology (License #6360 in NM)

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Initial NPI Registration & Enumeration July 08, 2009

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: 1053540310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2009
Last Update: July 08, 2009
Deactivation Date: March 29, 2018

Mailing Address

27 Sandia Hts Dr.

Albuquerque, NM 87122

Phone: 5058566519

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

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