Individual provider Active NPI

John Andrew Johnson Jr., D.O.

  • Allergy & Immunology Physician
  • Yarmouth Port, MA
National Provider Identifier
1043650641
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
266075 Issued in MA
Practice address
244 Willow St
Yarmouth Port, MA 02675-1757
Phone
(508) 362-0099
Fax
(508) 362-8811
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 255876 MA
Allergy & Immunology Physician 207K00000X 266075 MA Primary

Addresses

Primary practice location

244 Willow St
Yarmouth Port, MA 02675-1757

Mailing address

244 Willow St
Yarmouth Port, MA 02675-1757
Phone (508) 362-0099

Other practice location 1

43 High St
Wareham, MA 02571-2097
Phone (508) 973-5919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjohnson45180@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161216001928 OH Practitioner - Internal Medicine 3678853215 Reassigns benefits to 4 organizations
I20180611001644 MA Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Hospitalist 3678853215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of New England, College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

433 W Main St
Unit a
Hyannis, MA 02601-3644
Phone (508) 362-0099

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255876MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health System - East Region CurrentSince May 15, 2017 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Nov 6, 2018 Accepting new patients
Cleveland Clinic Health System - East Region CurrentSince May 15, 2017 Accepting new patients
Greater Boston Allergy Asthma Sinus & Immunology Centers, P.C. CurrentSince Aug 3, 2020 Accepting new patients
Ashtabula County Medical Center CurrentSince Dec 1, 2016 Accepting new patients
Advanced Allergy Allergy & Immunology Current Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Sep 5, 2018 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Nov 6, 2018 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Mar 5, 2017 Accepting new patients

Locations

75 Brandt Ave
Dartmouth, MA 02747
Phone (508) 994-0120

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

210 Jones Rd
Falmouth, MA 02540
Phone (508) 540-0303

433 W Main St
Hyannis, MA 02601
Phone (508) 362-0099

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

433 W Main St
Unit A
Hyannis, MA 02601
Phone (508) 362-0099

2000 Washington St
Ste 304
Newton Lower Falls, MA 02462
Phone (617) 243-5440

43 High St
Wareham, MA 02571
Phone (508) 273-4200

244 Willow St
Yarmouth Port, MA 02675
Phone (508) 362-0099

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: jjohnson45180@direct.southcoast.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1043650641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-362-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILLOW ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751757",
            "telephone_number": "508-362-0099",
            "fax_number": "508-362-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 High St",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025712097",
            "country_code": "US",
            "telephone_number": "508-973-5919",
            "fax_number": "508-973-5916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "255876",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "266075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohnson45180@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "43 High St",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025712097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

Verify at the official NPI Registry.