Active NPI
Gregory Johnson, M.D.
- Orthopaedic Surgery Physician
- Wareham, MA
National Provider Identifier
1366422677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 40750
- Practice address
- 1 Recovery Rd
Wareham, MA 02571-5011 - Phone
- (508) 295-5100
- Fax
- (508) 295-9467
- NPI assigned
- Jan 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 40750 | MA | Primary |
Addresses
Primary practice location
1 Recovery Rd
Wareham, MA 02571-5011
Mailing address
1 Recovery Rd
Wareham, MA 02571-5011
Phone (508) 295-5100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2056283 | Medicaid | MA | |
| 17022 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 000000023729 | Other | MA | BOSTON MEDICAL CENTER HEA |
| 28592 | Other | MA | CHILDRENS MEDICAL SECURIT |
| 766401 | Other | MA | TUFTS HEALTH PLAN |
| B20436401 | Other | MA | CIGNA |
| B33524 | Other | MA | BCBS OF MASSACHUSETTS |
| 0018476 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 09-00266 | Other | MA | UNITEDHEALTHCARE |
| 0563550 | Other | MA | AETNA/US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- gjohnson19795@direct.southcoast.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366422677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RECOVERY RD",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025715011",
"telephone_number": "508-295-5100",
"fax_number": "508-295-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RECOVERY RD",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025715011",
"telephone_number": "508-295-5100",
"fax_number": "508-295-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "40750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2056283",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "17022",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER HEA",
"identifier": "000000023729",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "28592",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "766401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20436401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASSACHUSETTS",
"identifier": "B33524",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0018476",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "09-00266",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "0563550",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.