Faye C. Johnson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA07447900 Issued in NJ

Practice address

9555 SW Barnes Rd Ste 270
Portland, OR 97225-6613

Phone

(503) 297-1025

Fax

(503) 297-1043

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Faye C. Wong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Westside Pediatric Clinic PC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1093929226
  NPD (past)
• Middlesex Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Edison, NJ
  • NPI 1811921760
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1316974801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256613",
            "telephone_number": "150-329-7102",
            "fax_number": "503-297-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256613",
            "telephone_number": "503-297-1025",
            "fax_number": "503-297-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FAYE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07447900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "WONG",
            "middle_name": "C.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Mitchell Johnson, PH.D.
• Eva Jean Johnson
• Evan Rian Johnson
• Farland Ide Johnson, LMT
• Fayanna Johnson, LCSW
• Frederick Farman Johnson III, L.M.T.
• Gabrielle Johnson, PA-C, ATC
• Gayle Johnson
• General Courtney Johnson
• Genevieve Lynn Johnson, L.AC.

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.