Individual provider Active NPI

James M Johnson, MD

  • Obstetrics Physician
  • Phoenix, AZ
National Provider Identifier
1174528004
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
27769 Issued in AZ
Practice address
9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037-3328
Phone
(623) 936-1780
Fax
(623) 936-9116
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 27769 AZ
Obstetrics Physician 207VX0000X 27769 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037-3328

Mailing address

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037-3328
Phone (623) 936-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050119000524 AZ Practitioner - Obstetrics/Gynecology 1456300235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

9305 W Thomas Rd
Suite 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27769AZMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Sep 1, 2020 Accepting new patients
Banner Estrella Medical Center Past Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

1170 N Estrella Pkwy
Ste A107
Goodyear, AZ 85338
Phone (623) 263-0105

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

530 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 351-2229

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

4530 E Ray Rd
Ste 125
Phoenix, AZ 85044
Phone (480) 759-9191

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • Direct secure messaging: james.johnson.1@14294.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1174528004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-936-1780",
            "fax_number": "623-936-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-936-1780",
            "fax_number": "623-936-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "27769",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "27769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.