Individual provider Active NPI

Eric T Johnson, MD

  • Orthopaedic Trauma Physician
  • Newark, DE
National Provider Identifier
1174594162
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
CI0004860 Issued in DE
Practice address
4745 Ogletown Stanton Rd Ste 225
Newark, DE 19713-1387
Phone
(302) 731-2888
Fax
(302) 731-7049
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X CI0004860 DE Primary
Orthopaedic Surgery Physician 207X00000X C10004860 DE

Addresses

Primary practice location

4745 Ogletown Stanton Rd Ste 225
Newark, DE 19713-1387

Mailing address

211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100108000361 DE Practitioner - Orthopedic Surgery 6103899745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 731-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
96
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement51
Knee replacement81
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10004860DEMDOrthopaedic Surgery Physician
CI0004860DEMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics PA CurrentSince Feb 1, 2002 Accepting new patients
First State Orthopaedics PA Orthopaedic Surgery Current Accepting new patients
First State Orthopaedics, PA Orthopaedic Surgery CurrentSince Feb 1, 2002 Accepting new patients
Regional Orthopaedic Associates PA Orthopaedic Surgery Past Accepting new patients
Regional Orthopaedic Associates PA Orthopaedic Surgery Past Accepting new patients

Locations

601 Tower Ln
Ste 201
Middletown, DE 19709

4745 Stanton Ogletown Rd
Ste 225
Newark, DE 19713
Phone 30273128881001

211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

4745 Ogletown Stanton Rd
Ste 2
Newark, DE 19713

1401 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 478-5500

1401 Foulkstone Plz
Wilmington, DE 19803
Phone (302) 477-4305

Interoperability endpoints

  • Direct secure messaging: eric.johnson.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 5

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.

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1174594162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EXECUTIVE DR STE 11",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023358",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD STE 225",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131387",
            "telephone_number": "302-731-2888",
            "fax_number": "302-731-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "DE",
            "license": "CI0004860",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C10004860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.