Active NPI
Scott H Johnson, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21539
- Practice address
- 608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069 - Phone
- (405) 524-4105
- NPI assigned
- Dec 7, 2005
- Last updated
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21539 | OK | Primary |
Addresses
Primary practice location
608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Mailing address
PO Box 21828
Oklahoma City, OK 73156-1828
Phone (660) 826-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126270B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 359-2400
3840 S Boulevard
Suite 103
Edmond, OK 73013-5888
Phone (405) 455-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regeneration Nation LLC | Anesthesiology | Current | Accepting new patients |
| Regeneration Nation Tulsa LLC | Anesthesiology | Current | Accepting new patients |
| Summit Medical Center Physicians, LLC | Anesthesiology | Current | Accepting new patients |
| Midtown Anesthesia Consultants PLLC | Anesthesiology | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Cataract Institute of Oklahoma LLC | Past | Accepting new patients |
Locations
1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400
3840 S Boulevard
Edmond, OK 73013
Phone (405) 232-8696
3840 S Boulevard
Ste 103
Edmond, OK 73013
Phone (405) 455-3937
608 NW 9th St
Ste 6210
Oklahoma City, OK 73102
Phone (405) 272-9641
6565 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 481-2772
6565 S Yale Ave
Ste 106
Tulsa, OK 74136
Phone (918) 481-2770
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sjohnson137867@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1639192586
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1336554567
-
- Allergy & Immunology Physician
- Tulsa, OK
- NPI 1205591708
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Edmond, OK
- NPI 1396030664
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1295710846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21828",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731561828",
"telephone_number": "660-826-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NW 9TH ST STE 6210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021069",
"telephone_number": "405-524-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "21539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126270B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.