Madeline Johnson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

57.254995 Issued in OH

Practice address

3130 Highland Ave
Cincinnati, OH 45219-2399

Phone

(513) 584-4644

Fax

(513) 584-1559

NPI assigned

May 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dermatologists of Southwestern Ohio, LLC.

  • Dermatology Physician
  • Dayton, OH
  • NPI 1801819883
  NPD (past)

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1225776180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746747",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746747",
            "telephone_number": "513-232-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 HIGHLAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192399",
            "telephone_number": "513-584-4644",
            "fax_number": "513-584-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave Ste 1304",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011700",
            "country_code": "US",
            "telephone_number": "847-570-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4243 Hunt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452426664",
            "country_code": "US",
            "telephone_number": "513-914-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7691 5 Mile Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304348",
            "country_code": "US",
            "telephone_number": "513-232-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "57.254995",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.079303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Monique Johnson, MD
• Lonnie L Johnson
• Lynette Lorraine Johnson, CASE MANAGER
• Madeleine Johnson
• Madeline Johnson
• Malik Johnson
• Maria Bernadette Johnson, RN
• Marilyn Michele Johnson, AA, QMHS,CMS
• Marjorie Johnson
• Mark Anthony Johnson Jr.

• Dermatology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.