Ladonna Mae Johnson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO19146 Issued in OR

Practice address

201 Plageman BLDG
Oregon State University - Student Health
Corvallis, OR 97331-5801

Phone

(541) 737-3106

Fax

(541) 737-4530

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1124103445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PLAGEMAN BLDG",
            "address_2": "OREGON STATE UNIVERSITY - STUDENT HEALTH",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973315801",
            "telephone_number": "541-737-3106",
            "fax_number": "541-737-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PLAGEMAN BLDG",
            "address_2": "OREGON STATE UNIVERSITY - STUDENT HEALTH",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973315801",
            "telephone_number": "541-737-3106",
            "fax_number": "541-737-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LADONNA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO19146",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Johnson, L.AC
• Erin Lynn Johnson
• Israel Synclair Johnson, LCPM
• John C Johnson, D.C.
• Jordan Johnson, PA-C
• Lisa Johnson
• Madison Johnson
• Marjean Carol Johnson
• Mary Louise Johnson
• Mary P Johnson, ATC, ATR

• Family Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.