Susan G Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

154073 Issued in MA

Practice address

82 Main Street
West Springfield, MA 01089

Phone

(413) 788-0100

Fax

(413) 341-1789

NPI assigned

Jun 28, 2006

Sex

Female

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11882/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1114955481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST",
            "address_2": "STE 1",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696640",
            "telephone_number": "413-727-3534",
            "fax_number": "413-341-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN STREET",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-788-0100",
            "fax_number": "413-341-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "154073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320076",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Frangie, M.D., P.C.
• Christopher E Johnsen, DC
• Griselda Johnson Lorenzo, LMHC
• Lamar Johnson
• Matthew Johnson
• Susan Kimberly Jones Raymond, LICSW
• Anne M Jones, RBT
• Tammy Lynn Jones
• Suzanne T Jorey, M.D.
• Jyovani Joubert, PA-C

• Internal Medicine Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.