Provider Demographics
NPI:1376574152
Name:JOHNS, FRANCIS REGIS JR (MD)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:REGIS
Last Name:JOHNS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6154 STATE ROUTE 30
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-830-9305
Mailing Address - Fax:724-830-9356
Practice Address - Street 1:6154 STATE ROUTE 30
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-830-9305
Practice Address - Fax:724-830-9356
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062178L2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016930990005Medicaid
PA897251OtherHIGHMARK
H39163Medicare UPIN
PA048594QE5Medicare ID - Type Unspecified