Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104135052 Individual Practitioner Female Practitioner

Stephanie Johnson , PA

Physician Assistant • Liverpool, NY

Professional Overview & Biography Verified Profile Summary

Stephanie Johnson, PA is a registered healthcare professional specializing in Physician Assistant in Liverpool, NY. Practice services are available at 5046 BETSY ROSS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5046 Betsy Ross Way

Liverpool, NY 130885933

Telephone 3159560900

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Liverpool, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
51 Specialists

Practicing in Liverpool, NY (15701 Statewide)

Telehealth Adoption Rate
17.6% 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

CMS Verified: 2021-07-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 014259

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 4777

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL 9108630

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03537042 (NY)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 06, 2021

Registered at 5046 BETSY ROSS WAY, LIVERPOOL, NY 130885933 (Tel: 3159560900)

📍
Updated Business Mailing Address July 06, 2021

Registered at 5046 BETSY ROSS WAY, LIVERPOOL, NY 130885933 (Tel: 3159560900)

NPI Profile Active February 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2015

Registered at 17 LANSING STREET, AUBURN COMMUNITY HOSPITAL, AUBURN, NY 13021 (Tel: 3152557011)

📍
Updated Business Mailing Address February 13, 2015

Registered at 17 LANSING STREET, AUBURN COMMUNITY HOSPITAL, AUBURN, NY 13021 (Tel: 3152557011)

👤
Provider Name / Credentials Updated February 13, 2015

Recorded as STEPHANIE JOHNSON, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2015

Physician Assistant (License #014259 in NY)

🟢
Initial NPI Registration & Enumeration September 27, 2010

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: 1104135052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2010
Last Update: July 06, 2021
Sole Proprietor: No

Mailing Address

5046 Betsy Ross Way

Liverpool, NY 130885933

Phone: 3159560900

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.