Gregory Ross Johnson, M.D. – Surgery Physician

Key facts

NPI: 1366540460
Entity type: Individual (NPI type 1)
Primary specialty: Surgery Physician 208600000X
License: 6479 (MT)
Practice address: 1892 Williams St.
Department of Surgery (112) VA Montana Healthcare
Fort Harrison, MT 59636
Phone: (406) 442-6410
NPI assigned: Sep 20, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Frances Mahon Deaconess Hospital Critical Access Hospital · Glasgow, MT · NPI 1689685323

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
6479	MT	MD	Surgery Physician

Practice roles

Organization	Specialty	Status	New patients
Frances Mahon Deaconess Hospital		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Surgery Physician	208600000X	6479	MT	Yes

Addresses

Primary practice location

1892 Williams St.
Department of Surgery (112) VA Montana Healthcare
Fort Harrison, MT 59636

Mailing address

5540 Elk Ridge Rd
Helena, MT 59601-6604
Phone (406) 442-0195

Other providers in Fort Harrison, MT

All providers in Fort Harrison, MT · Surgery Physician in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.