Active NPI
Richard Arthur Johnson, DO
- Internal Medicine Physician
- Clearfield, PA
National Provider Identifier
1154379568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS006446E
- Practice address
- 820 Turnpike Ave
Clearfield, PA 16830-1229 - Phone
- (814) 765-7502
- Fax
- (814) 765-8807
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS006446E | PA | Primary |
Addresses
Primary practice location
820 Turnpike Ave
Clearfield, PA 16830-1229
Mailing address
820 Turnpike Ave
Clearfield, PA 16830-1229
Phone (814) 765-7502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011711290001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mature Resources Foundation | Current | Accepting new patients | |
| Clearfield Professional Group, LTD. | Internal Medicine | Current | Accepting new patients |
Locations
820 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-2006
28944 Frenchville Karthaus Hwy
Frenchville, PA 16836
Phone (814) 765-2695
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Clearfield, PA
- NPI 1730108994
-
- Family Medicine Physician
- Frenchville, PA
- NPI 1447861521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1154379568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301229",
"telephone_number": "814-765-7502",
"fax_number": "814-765-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301229",
"telephone_number": "814-765-7502",
"fax_number": "814-765-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS006446E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011711290001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.