Individual provider Active NPI

Scott E Johnson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Marietta, OH
National Provider Identifier
1407946262
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35.098248 Issued in OH
Practice address
401 Matthew St
Marietta, OH 45750-1635
Phone
(740) 374-1623
Fax
(740) 568-5355
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35.098248 OH Primary

Addresses

Primary practice location

401 Matthew St
Marietta, OH 45750-1635

Mailing address

PO Box 449
Marietta, OH 45750-0449

Other practice location 1

805 Farson St Ste 110
Belpre, OH 45714-1000
Phone (740) 423-3208

Other identifiers 2

IdentifierTypeStateIssuer
3810022171MedicaidWV
0061846MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scott.johnson@mmhs.medicity.net
Direct Messaging Address scott.johnson@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111202000536 OH Practitioner - Physical Medicine and Rehabilitation 9335243377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, San Diego School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

  • Marietta Home Health and Hospice, an Amedisys Part Home health agency, Marietta, OH, CCN 368230
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue231
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Dec 1, 2012 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 1, 2012 Accepting new patients

Locations

805 Farson St
Ste 110
Belpre, OH 45714
Phone (304) 485-8824

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

400 Matthew St
Marietta, OH 45750
Phone (740) 373-4111

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1407946262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-1623",
            "fax_number": "740-568-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Farson St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141000",
            "country_code": "US",
            "telephone_number": "740-423-3208",
            "fax_number": "740-423-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.098248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022171",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061846",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.johnson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "805 Farson St Ste 110",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.johnson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.