Individual provider Active NPI

Timothy V. Johnson, D.O.

  • Obstetrics & Gynecology Physician
  • Weymouth, MA
National Provider Identifier
1144420340
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
235874 Issued in MA
Practice address
90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone
(339) 201-4120
Fax
(339) 201-4122
NPI assigned
Jul 25, 2007
Last updated
Oct 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 235874 MA Primary

Addresses

Primary practice location

90 Libbey Pkwy
Weymouth, MA 02189-3129

Mailing address

90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone (339) 201-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000023 MA Practitioner - Obstetrics/Gynecology 4486722147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.58 of 100Reported as group
Quality
58.14
Promoting interoperability
74
Improvement activities
40
Cost
72.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
235874MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

118 Long Pond Rd
Plymouth, MA 02360
Phone (508) 747-6762

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

90 Libbey Park
Weymouth, MA 02189
Phone (781) 331-0537

90 Libbey Park
Ste 105
Weymouth, MA 02189
Phone (339) 201-4120

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1144420340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "339-201-4120",
            "fax_number": "339-201-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "339-201-4120",
            "fax_number": "339-201-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIMOTHY",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "235874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.