Nathan Allen Johnson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD433869 Issued in PA

Practice address

3572 Brodhead Rd
Suite 201
Monaca, PA 15061-3101

Phone

(724) 728-6539

Fax

(724) 728-7416

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA, OH, WV3 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 3

Specialty

Diagnostic Radiology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Heritage Valley Radiology, Inc.Group PAC ID 6305348947, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

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.

• Heritage Valley Radiology, Inc.

  • Diagnostic Radiology Physician
  • Beaver, PA
  • NPI 1982403739
  Medicare reassignment Care Compare group NPD
• Brighton Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Beaver, PA
  • NPI 1881672434

  OH

  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Upmc/HVHS Cancer Center

  • Radiation Oncology Physician
  • Moon Township, PA
  • NPI 1609843861
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044

  OH, WV

  Medicare reassignment NPD
• Brighton Radiology

  • Radiology Practitioner Assistant
  • Monaca, PA
  • NPI 1912256728
  NPD
• Special Services Cardiology

  • Cardiovascular Disease Physician
  • Beaver, PA
  • NPI 1598742090
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Care Compare affiliation
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Weirton Medical Center, Inc

  dba Weirton Medial Center

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1285824623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 BRODHEAD RD",
            "address_2": "SUITE 201",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613101",
            "telephone_number": "724-728-6539",
            "fax_number": "724-728-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 BRODHEAD RD",
            "address_2": "SUITE 201",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613101",
            "telephone_number": "724-728-6539",
            "fax_number": "724-728-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATHAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT183509",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD433869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2045019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013349",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021877070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Hupp
• Lindsey Rae Hyatt, PA-C
• Donna L Iannone, D.M.D.
• Richard J. Imhoff, RPH
• In-Line Chiropractic Clinic, Inc (Beaver County Spinal Disc Center)
• Hilary S.M. Jones, M.D.
• Joseph J Skoff DDS
• Krishna K. Kasi, M.D.
• Nagamani Kasi, M.D.
• Keith H. Wharton MD PC

• Diagnostic Radiology Physician in Monaca, PA
• Providers in Monaca, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.