Roger B Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15048 Issued in KS

Practice address

16 E 13TH St
Lawrence, KS 66044-3502

Phone

(785) 423-5086

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Douglas County Public Health Services Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gainesville, MO
  • NPI 1598762593
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417034125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1674",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660448674",
            "telephone_number": "785-423-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 13TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443502",
            "telephone_number": "785-423-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROGER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "15048",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MDR4H16",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD25162",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Johnson
• Micheal P Johnson, PTA
• Michelena Johnson, COTA/L
• Nancy Alice Johnson, MSW, LSCSW
• Olivia Johnson
• Stacy Johnson, MS, LCPC, RPT-S
• Jenna Marie Johnston, PA-C
• Russell Johnston, M.A., CCC-SLP
• Sara Ellen Johnston, PT
• Terry Lee Johnston, LSCSW

• Family Medicine Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Family Medicine Physician in Kansas

• 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.

Verify at the official NPI Registry.