Amy D Johnson, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

44626 Issued in MA

Practice address

43 High Street
Southcoast Physician Services, Inc.
Wareham, MA 02750

Phone

(508) 961-5919

Fax

(508) 961-5916

NPI assigned

Aug 30, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Bayside Emergency Medical Associates, P.C.

  • Emergency Medicine Physician
  • Plymouth, MA
  • NPI 1548375652
  NPD (past)
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629

  Hospitalist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1386753556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FOUNCE CORNER ROAD",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "NO. DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-985-2000",
            "fax_number": "508-985-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HIGH STREET",
            "address_2": "SOUTHCOAST PHYSICIAN SERVICES, INC.",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02750",
            "telephone_number": "508-961-5919",
            "fax_number": "508-961-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "44626",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "44626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090686",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J02275",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Illumineyes PLLC
• Isaac P. Zisblatt DMD PLLC
• Misha Jaffe, MS
• Mazhar A Jakhro, MD
• Diana Jasinski
• Gregory Johnson, M.D.
• Judy Gabriel Card, Inc.
• Randy Kaplan, M.D.
• Rachel Kaup, MED, BCBA
• Paymon Kayhani, M.D.

• Hospitalist Physician in Wareham, MA
• Providers in Wareham, MA by specialty
• Hospitalist Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.