IndividualActive
Casey Johnson, MD
NPI 1154882694 · Pediatric Gastroenterology Physician · Boston, MA
Provider details
- NPI number
- 1154882694
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 292195 (MA)
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2019-03-27
- Last updated
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.