Jeffrey D Johnson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD1034 Issued in ME

Practice address

237 Main St Ste 3
Mexico, ME 04257-2603

Phone

(207) 200-8814

Fax

(207) 558-8980

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Podiatry Group PC 105 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Dublin, OH
  • NPI 1689613598

  MN, Podiatrist

  Medicare reassignment Care Compare group NPD
• On the Go Toes Inc

  • Primary Podiatric Medicine Podiatrist
  • Rumford, ME
  • NPI 1215512157

  ME

  Medicare reassignment NPD
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Princeton, NJ
  • NPI 1013106533
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Dobbs Ferry, NY
  • NPI 1326251026
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Columbia, MD
  • NPI 1548685258
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Newtown, PA
  • NPI 1619905114
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Brookfield, WI
  • NPI 1679504427
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Middletown, CT
  • NPI 1770514101
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Framingham, MA
  • NPI 1831388354
  Care Compare group
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Framingham, MA
  • NPI 1851580377
  Care Compare group

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1295899672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LINCOLN AVE, SUITE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762104",
            "telephone_number": "207-200-8814",
            "fax_number": "207-558-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MAIN ST STE 3",
            "city": "MEXICO",
            "state": "ME",
            "postal_code": "042572603",
            "telephone_number": "207-200-8814",
            "fax_number": "207-558-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134880000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas Marshall, ATC
• Tammy R Mawhinney, L.M.T.
• Northern Oxford Regional Ambulance Service
• School Administrative District 43
• Wal-Mart Stores East LP

• All providers in Mexico, ME
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.