Douglas R. Johnson, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

58509 Issued in MA

Practice address

231 Weaver St
Unit F
Fall River, MA 02720-1338

Phone

(508) 679-1400

Fax

(508) 679-1449

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073586558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WEAVER ST",
            "address_2": "UNIT F",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201338",
            "telephone_number": "508-679-1400",
            "fax_number": "508-679-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WEAVER ST",
            "address_2": "UNIT F",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201338",
            "telephone_number": "508-679-1400",
            "fax_number": "508-679-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "58509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069940",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelymar Johnson
• Barbara J Johnson, L.I.C.S.W.
• Caroline Johnson
• Christa Lynn Johnson, M.D.
• Claude Edward Johnson, MS ,CADC, LADC I
• Keegan Johnson, MD
• Kimberly Janna Johnson, LMHC
• Sarah Johnson
• Michelene Jolibois, RN
• Jennifer L Jolly, LICSW

• Physical Medicine & Rehabilitation Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.