Ruth Ann Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

165174 Issued in NY

Practice address

13500 Broadway St
Alden, NY 14004-1417

Phone

(716) 937-6743

Fax

(716) 937-6453

NPI assigned

Dec 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ruth a. Johnson, M.D.

  • Family Nurse Practitioner
  • Alden, NY
  • NPI 1578707253
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285619072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041417",
            "telephone_number": "716-937-6743",
            "fax_number": "716-937-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041417",
            "telephone_number": "716-937-6743",
            "fax_number": "716-937-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "165174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron A Hrycko, PT
• Kira Jaroslawsky
• Kathleen Ann Jegierski, MSED CCC-SLP
• Brenda K Johnson, LMT
• Drew Johnson
• Venkata Ratnam Jupudy, M.D.
• Kari Ann Kalczynski, L.M.T
• Jessica Kerr
• Amy Lynn Koepf
• Frankie Jean Koziarski, DC

• Family Medicine Physician in Alden, NY
• Providers in Alden, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.