Oji Demarcus Johnson, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

2003026731 Issued in MO

Practice address

1931 Burlington St
North Kansas City, MO 64116-3407

Phone

(816) 241-2131

Fax

(816) 241-0551

NPI assigned

Aug 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083728547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 NE BRIDGEPORT DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865002",
            "telephone_number": "816-518-6313",
            "fax_number": "816-241-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BURLINGTON ST",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163407",
            "telephone_number": "816-241-2131",
            "fax_number": "816-241-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OJI",
        "middle_name": "DEMARCUS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MO",
            "license": "2003026731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S. Zarr, MD, PC
• Jeff Laferla Vision Institute, OD PC
• Alison Johnson, RN, BSN, MSN, NP-C
• Kendall Johnson, D.O.
• Mary Daniel Johnson, RD
• Alisha Jones, PA-C
• Rebecca Jones, DNP, APRN, WHNP
• Rebecca E. Jones, NP
• Scott R Jones, P.T., C.S.C.S.
• Jessica Ann Joseph, M.D.

• Sports Medicine (Emergency Medicine) Physician in North Kansas City, MO
• Providers in North Kansas City, MO by specialty
• Sports Medicine (Emergency Medicine) Physician in Missouri

• 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.