Active NPI
Cassandra H Johnson, MD
- Neonatal-Perinatal Medicine Physician
- York, PA
National Provider Identifier
1134461783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD469993
- Practice address
- 1701 Innovation Dr
York, PA 17408-8815 - Phone
- (717) 849-5650
- Fax
- (717) 849-5577
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD469993 | PA | Primary |
Addresses
Primary practice location
1701 Innovation Dr
York, PA 17408-8815
Mailing address
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 849-5650
Other practice location 1
1906 Belleview Avenue
Carilion Clinic Roanoke Memorial Hospital
Roanoke, VA 24014
Phone (540) 981-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnson175775@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Upmc Carlisle | Past | Accepting new patients | |
| Upmc Memorial | Past | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients |
Locations
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
Interoperability endpoints
- cjohnson291872@upmc.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Surgery Physician
- Harrisburg, PA
- NPI 1437790482
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1134461783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 INNOVATION DR",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-849-5650",
"fax_number": "717-849-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 INNOVATION DR",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-849-5650",
"fax_number": "717-849-5577"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Avenue",
"address_2": "Carilion Clinic Roanoke Memorial Hospital",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "24014",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CASSANDRA",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD469993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnson175775@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1701 Innovation Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174088815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.