Individual provider Active NPI

Steven E Johnson, MD

  • Otolaryngology Physician
  • Somersworth, NH
National Provider Identifier
1366402737
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
17064 Issued in NH
Practice address
361 High St
Somersworth, NH 03878-1407
Phone
(603) 692-4500
Fax
(603) 692-4520
NPI assigned
Mar 28, 2006
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 17064 NH Primary

Addresses

Primary practice location

361 High St
Somersworth, NH 03878-1407

Mailing address

361 High St
Somersworth, NH 03878-1407
Phone (603) 692-4500

Other identifiers 1

IdentifierTypeStateIssuer
3099192MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20150608002753 NH Practitioner - Otolaryngology 5890733554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Colorado School of Medicine, Denver, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

361 High St
Somersworth, NH 03878-1407
Phone (603) 692-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Jun 12, 2017 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jun 12, 2017 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Otolaryngology CurrentSince Jan 1, 2023 Accepting new patients
Mousam Valley Orthopaedics PA Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
The Medical Group Department of Goodall Hospital Past Accepting new patients

Locations

10 Members Way
Ste 100
Dover, NH 03820

10 Members Way
Ste 303
Dover, NH 03820
Phone (603) 516-4256

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

361 High St
Somersworth, NH 03878
Phone (603) 692-4500

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: johnson.steven.wdh@direct.partners.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1366402737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HIGH ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781407",
            "telephone_number": "603-692-4500",
            "fax_number": "603-692-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HIGH ST",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781407",
            "telephone_number": "603-692-4500",
            "fax_number": "603-692-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "17064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099192",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.