William T. Johnson, MD

Key facts

NPI

1073553053

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

17387 (AZ)

Practice address

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Phone

(602) 344-5039

Fax

(602) 344-0779

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• District Medical Group, Inc Anatomic Pathology & Clinical Pathology Physician · Phoenix, AZ · NPI 1336472448
  Medicare reassignment NPD AZ
• District Medical Group, Inc Emergency Medicine Physician · Phoenix, AZ · NPI 1144624339
  NPD
• District Medical Group, Inc Internal Medicine Physician · Phoenix, AZ · NPI 1295968162
  NPD ANESTHESIOLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 10, 2011.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1073553053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5039",
            "fax_number": "602-344-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "17387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Victoria Johnson
• Victoria Johnson, SOLE PROPRIETOR
• Warren C Johnson, M.D., PH.D.
• Wesley C Johnson
• Wesley David Johnson, M.A., BCBA, LBA
• Zvinashe Johnson, RN
• Alicia Johnston
• Christine Lynn Johnston, PSY.D.
• Clarissa Johnston, DO
• Codi Vonnice Johnston, MSN, APRN, FNP-C

All providers in Phoenix, AZ · Anesthesiology Physician in Arizona