Justin Theo Johnson, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPOO440 Issued in OR

Practice address

1661 Highway 99 N
Ste 201
Ashland, OR 97520-8900

Phone

(541) 482-4924

Fax

(541) 488-1732

NPI assigned

Nov 2, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Podiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: justin.johnson.1@6847.direct.athenahealth.com

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.

• Justin T Johnson DPM Inc.

  dba Ankle and Foot Specialists of Southern Oregon

  • Foot & Ankle Surgery Podiatrist
  • Ashland, OR
  • NPI 1407145568
  Medicare reassignment Authorized official
• John S Belknap

  dba Mt. Hood Podiatry Hood River

  • Foot & Ankle Surgery Podiatrist
  • Hood River, OR
  • NPI 1366714867
  NPD (past)
• Mt. Hood Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Hood River, OR
  • NPI 1366623134
  NPD (past)
• Oregon Foot & Ankle Surgical Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • Ashland, OR
  • NPI 1356665103
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1336328624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HWY 99 N STE 201",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975208900",
            "telephone_number": "541-482-4924",
            "fax_number": "541-488-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HIGHWAY 99 N",
            "address_2": "STE 201",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975208900",
            "telephone_number": "541-482-4924",
            "fax_number": "541-488-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUSTIN",
        "middle_name": "THEO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DPOO440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336328624",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "DP00440",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caelin Eliza Johnson-Lupes, LCSW
• Allen Duane Johnson, MD
• Bruce E Johnson, MD
• Hannah F Johnson, LMT
• Jeffery Johnson
• Kelly Theresa Johnson
• Kristine Johnson, ATC
• Monica Johnson, L.M.T.
• Venessa E Johnson, LMT
• Emily Johnston, P.T.

• Foot & Ankle Surgery Podiatrist in Ashland, OR
• Providers in Ashland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.