Organization Active NPI

Pierre M. Johnson, MD PC

  • Internal Medicine Physician
  • Fairbanks, AK
National Provider Identifier
1417133323
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6017 Issued in AK
Legal business name
PIERRE M. JOHNSON, MD PC
Practice address
2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone
(907) 328-2920
Fax
(907) 456-2914
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Pierre McElroy Johnson, M.D.
Title
Physician
Phone
(907) 328-2910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 6017 AK Primary

Addresses

Primary practice location

2555 Phillips Field Rd
Fairbanks, AK 99709-3933

Mailing address

2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone (907) 328-2920

Other identifiers 1

IdentifierTypeStateIssuer
1447353743OtherAKINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2555 Phillips Field Rd
Fairbanks, AK 99709
Phone (907) 328-2920

2555 Phillips Field Rd
Pier M
Fairbanks, AK 99709
Phone (907) 328-2920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1417133323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2920",
            "fax_number": "907-456-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2920",
            "fax_number": "907-456-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE M. JOHNSON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "MCELROY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "907-328-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "6017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447353743",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.