Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jarred Johnson, MD

Individual provider Hospitalist Physician · NPI 1669761821

Jarred Johnson, MD is a Hospitalist Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1342
Phone: (607) 277-2365
Fax: (607) 277-0104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 274233 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 274233 (NY)

Record details

NPI number1669761821
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESJanuary 9, 2018

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