Individual provider Active NPI

Scott H Johnson, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1295710846
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21539 Issued in OK
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100126270BMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000168 OK Practitioner - Anesthesiology 5597701367 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Regeneration Nation LLC Anesthesiology CurrentSince Jan 1, 2020 Accepting new patients
Regeneration Nation Tulsa LLC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Summit Medical Center Physicians, LLC Anesthesiology CurrentSince Sep 15, 2014 Accepting new patients
Midtown Anesthesia Consultants PLLC Anesthesiology CurrentSince Jul 1, 2005 Accepting new patients
Summit Medical Center Past Accepting new patients
Cataract Institute of Oklahoma LLC PastSince Mar 12, 2013 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.