Deborah M Johnson MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD16845 Issued in OR

Legal business name

DEBORAH M JOHNSON MD PC

Practice address

1395 Liberty St SE
Salem, OR 97302-4276

Phone

(503) 585-9695

Fax

(503) 581-3960

NPI assigned

Mar 9, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah M JohnsonNPI 1053494294

Title

Owner

Phone

(503) 585-9695

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah M Johnson, MD

  • Gynecology Physician
  • Salem, OR
  • NPI 1053494294
  Authorized official Same address or phone

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1114292034",
    "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": {
        "organization_name": "DEBORAH M JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-585-9695",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD16845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022538",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Bryant Dean, LCSW
• Stefanie A Dean, LPC, NCC
• Debbie Williams Counseling LLC
• Johnny Deblock, DO
• Addison Deboer, PA-C
• Xan K Decambra
• Lindsey Decampos-Stairiker, DPT
• Catherine Elaine Decampos, PSY.D./FNP-BC
• Melissa Decarlo
• Elisabeth Ruth Decelles, PMHNP

• Medical Specialty Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.