Individual provider Active NPI

Christopher C Johnson, MD

  • Cardiovascular Disease Physician
  • Bremerton, WA
National Provider Identifier
1215952247
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD00023266 Issued in WA
Practice address
2709 Hemlock St
Bremerton, WA 98310-2623
Phone
(360) 782-6000
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD00023266 WA Primary

Addresses

Primary practice location

2709 Hemlock St
Bremerton, WA 98310-2623

Mailing address

2709 Hemlock St
Bremerton, WA 98310-2623
Phone (360) 782-6000

Other identifiers 2

IdentifierTypeStateIssuer
1056738MedicaidWA
1005151MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson17332@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080304000283 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325936172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Jefferson County Public Hospital District No 2Group PAC ID 4789593708, shared by 10 NPIs, 151 clinicians

Practice addresses (Care Compare)

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

21 NE Romance Hill Rd
Belfair, WA 98528-8315
Phone (206) 241-1818

4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780

4207 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 415-1080

450 S Kitsap Blvd
Suite 100
Port Orchard, WA 98366-3709
Phone (360) 895-7620

89 Breaker LN
Port Ludlow, WA 98365-9766
Phone (360) 437-5067

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323
  • Forks Community Hospital Hospital, Forks, WA, CCN 501325
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 CurrentSince Apr 1, 2010 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Capri Heart & Lung Institute CurrentSince Jan 1, 1997 Accepting new patients
Pacific County Hospital District 2 CurrentSince Apr 1, 2010 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Kitsap Cardiology Consultants, P.L.L.C. Cardiovascular Disease PastSince Nov 5, 2007 Accepting new patients
Commonspirit Washington Community Care Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

2601 Cherry Ave
Ste 109
Bremerton, WA 98310
Phone (360) 479-3886

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

2601 Cherry Ave
Ste 111
Bremerton, WA 98310
Phone (360) 479-3886

2709 Hemlock St
Bremerton, WA 98310
Phone (360) 782-6000

450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900

450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275

20101 Front St NE
Ste 102
Poulsbo, WA 98370
Phone (360) 697-2581

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: cjohnson17332@fhsce.catholichealth.net

Organizations & group practices 9

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 9

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1215952247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 HEMLOCK ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102623",
            "telephone_number": "360-782-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 HEMLOCK ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983102623",
            "telephone_number": "360-782-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00023266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056738",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005151",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson17332@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2709 Hemlock St",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983102623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.