Richard Michael Johnson, LPN, PARAMEDIC
Individual provider Active NPI Public Health & General Preventive Medicine Physician · Hugo, CO
NPI 1194222653 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1194222653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- License
- 35083 (CO)
- Practice address
- 326 8TH Street
Hugo, CO 80821 - Phone
- (719) 743-2526
- Fax
- (719) 743-2482
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083 | CO | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Public Health | Past | Accepting new patients | |
| County of Lincoln | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 35083 | CO | Yes |
Addresses
Primary practice location
326 8TH Street
Hugo, CO 80821
Mailing address
PO Box 125
Hugo, CO 80821-0125
Phone (719) 743-2526
Other providers in Hugo, CO
- Holistic Pain Management of Colorado LLC
- Karrie Holmes
- Hugo Fire Protection District
- Hugo Volunteer Fire Department
- Kaeli Humphrey
- Jennie Renee Jolliffe
- Susan Jean Kelly
- Rolf Edward Kirby
- Limon Doctors Committee
- Lincoln Community Hospital
All providers in Hugo, CO · Public Health & General Preventive Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.