Gordon R Johnson D O P C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

1926 Issued in IA

Legal business name

GORDON R JOHNSON D O P C

Practice address

3906 Lillie Ave
Suite 1
Davenport, IA 52806-4434

Phone

(563) 391-3309

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gordon R Johnson, D.O.

Title

President

Phone

(563) 391-3309

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffry Alan Lindenbaum, D.O

  • Family Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1922189315
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1124362066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 LILLIE AVE",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 LILLIE AVE",
            "address_2": "SUITE 1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064434",
            "telephone_number": "563-391-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON R JOHNSON D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-391-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gonzales
• Mayra Lizbeth Gonzalez, APRN
• Kelly Lynn Good, PHARMD
• Michael C Goodall, RNFA
• Kathleen Marie Goodworth
• Emily Gordon, LMHC
• Jeffrey C Goree, MD
• Joshua D Gosnell, P.T.
• Aniecia Goss
• Roopa M Goswami, M.D.

• Otolaryngology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Otolaryngology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.