Peter James Johnson, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005660 Issued in PA

Practice address

107 W Centre St
Mahanoy City, PA 17948-2605

Phone

(570) 449-8670

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

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.

• Advent Foot and Ankle Inc.

  • Foot & Ankle Surgery Podiatrist
  • Mahanoy City, PA
  • NPI 1487837498
  Medicare reassignment NPD Authorized official
• Advent Foot and Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Ashland, PA
  • NPI 1861660862
  NPD (past) Authorized official
• Advent Foot and Ankle Inc.

  • Foot & Ankle Surgery Podiatrist
  • Tamaqua, PA
  • NPI 1134397136
  NPD (past) Authorized official
• Advanced Centers for Podiatry & Wound Care, Inc.

  • Podiatrist
  • Lehighton, PA
  • NPI 1699735456
  NPD (past)
• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Carbon-Schuylkill Community Hospital, Inc.

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare affiliation
• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114966264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OAK ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292110",
            "telephone_number": "570-249-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482605",
            "telephone_number": "570-449-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005660",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE PA",
            "identifier": "SC005660",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynne Gallagher, CRNP
• Nancy Gardner
• Geisinger Clinic
• Richard Thomas Hale, D.O.
• Ibrahim Jalal
• Joseph C. Lobichusky, DDS Associates
• K P Flynn Inc
• Francis J. Kane, D.O.
• Susan Anna Kemler
• Mark Kufrovich, MSPT

• Foot & Ankle Surgery Podiatrist in Mahanoy City, PA
• Providers in Mahanoy City, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.