James L Johnson II, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6172A Issued in WY

Practice address

125 W Yellowstone Ave
Cody, WY 82414-8723

Phone

(307) 527-7129

Fax

(307) 587-7394

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WY, MT2 enrollments

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 2

Specialty

General Surgery

Education

Creighton University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Vein Clinic PCGroup PAC ID 7113930025, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rocky Mountain Vein Clinic, P.C.

  • Vascular Surgery Physician
  • Cody, WY
  • NPI 1326089137

  MT

  Medicare reassignment Care Compare group NPD Authorized official
• Rocky Mountain Vein Clinic Great Falls Inc

  • Surgery Physician
  • Great Falls, MT
  • NPI 1528413093
  Medicare reassignment NPD Authorized official
• Surgical Associates of Northern Wyoming, P.C.

  • Surgery Physician
  • Cody, WY
  • NPI 1477542231
  NPD (past) Authorized official
• Big Sky Ultrasound LLC

  • Clinical Medical Laboratory
  • Billings, MT
  • NPI 1962411983
  NPD
• West Park Hospital District

  • Emergency Medicine Physician
  • Basin, WY
  • NPI 1942921937
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1215926985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CENTRAL AVE STE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591028624",
            "telephone_number": "406-896-2478",
            "fax_number": "406-896-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W YELLOWSTONE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824148723",
            "telephone_number": "307-527-7129",
            "fax_number": "307-587-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2820 Central Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591028624",
            "country_code": "US",
            "telephone_number": "406-252-8346",
            "fax_number": "406-656-8303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 Stoneridge Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597187047",
            "country_code": "US",
            "telephone_number": "406-922-8346",
            "fax_number": "406-922-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "6172A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "95016",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113459100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157896",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020049170",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "308210",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth A Johnsey, PT
• Marlo Johnson Crosby
• Johnson Family Physical Therapy, LLC
• Emily L Johnson, COTA/L
• Evelyn Johnson
• Jude T. Johnson, DPT
• Anna S Jones, M.A. CCC-SLP
• Barton E Jones, CRNA
• Richard D Jones, OD
• Mary Joy, OT

• Surgery Physician in Cody, WY
• Providers in Cody, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.