Individual provider Active NPI

Sonja Marie Johnson, DO

  • Psychiatry Physician
  • Lancaster, OH
National Provider Identifier
1053931048
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.017315 Issued in OH
Practice address
131 N Ewing St Ste C
Lancaster, OH 43130-3383
Phone
(740) 689-6600
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 02006461A IN
Student in an Organized Health Care Education/Training Program 390200000X IN
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 34.017315 OH Primary

Addresses

Primary practice location

131 N Ewing St Ste C
Lancaster, OH 43130-3383

Mailing address

131 N Ewing St Ste C
Lancaster, OH 43130-3383
Phone (812) 885-3228

Other names 1

  • Sonja Marie Rankin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240916002018 OH Practitioner - Psychiatry 1052733821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 N Ewing St
Lancaster, OH 43130-3383

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-4404

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals Inc Single Specialty CurrentSince Aug 11, 2024 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Aug 11, 2024 Accepting new patients

Locations

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

Organizations & group practices 2

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 1

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1053931048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N EWING ST STE C",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "812-885-3228",
            "fax_number": "812-885-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N EWING ST STE C",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303383",
            "telephone_number": "740-689-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SONJA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02006461A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.017315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "RANKIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.