Active NPI
Randall E Johnson, AA-C
- Anesthesiologist Assistant
- Greenwood Village, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- ANT.0000035
- Practice address
- 8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766 - Phone
- (303) 438-3999
- Fax
- (720) 439-9500
- NPI assigned
- Dec 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA155 | FL | |
| Anesthesiologist Assistant | 367H00000X | ANT.0000035 | CO | Primary |
Addresses
Primary practice location
8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766
Mailing address
PO Box 840862
Dallas, TX 75284-0862
Phone (303) 377-7638
Other practice location 1
410 S 11th St
Lake Wales, FL 33853-4203
Phone (727) 643-1827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 438-3999
Hospital & facility affiliations
- HCA-Healthone Dba Swedish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA155 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| US Anesthesia Partners of Kansas PA | Current | Accepting new patients | |
| Kanumuri Medical Group PA | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
-
- Anesthesiology Physician
- Lake Wales, FL
- NPI 1093761504
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1306181276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840862",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840862",
"telephone_number": "303-377-7638",
"fax_number": "303-780-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE STE 120",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114766",
"telephone_number": "303-438-3999",
"fax_number": "720-439-9500"
}
],
"practiceLocations": [
{
"address_1": "410 S 11th St",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338534203",
"country_code": "US",
"telephone_number": "727-643-1827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "RANDALL",
"middle_name": "E",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-04",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA155",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "CO",
"license": "ANT.0000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.