Deborah M Johnson, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD16845 Issued in OR

Practice address

1395 Liberty St SE
Salem, OR 97302-4276

Phone

(503) 585-9695

Fax

(503) 581-3960

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: d.johnson@salemwomensclinic.directbygreenway.com

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1053494294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024276",
            "telephone_number": "503-585-9695",
            "fax_number": "503-581-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024276",
            "telephone_number": "503-585-9695",
            "fax_number": "503-581-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD16845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022538",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole R Johnson, DMD
• Craig Brian Johnson, D.C.
• Damion Johnson
• Darryl Johnson, R.PH.
• David M Johnson
• Dennis Douglas Johnson, D.M.D.
• Destyne Faeth Johnson, RDH
• Elizabeth Susan Johnson, CADC II
• Geneva M. Johnson
• James V. Johnson

• Gynecology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.