Jeffrey Don Johnson, DPM MS

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

288117-0501 Issued in UT

Practice address

2052 Spruce Creek LN
South Jordan, UT 84095-2408

Phone

(801) 446-4768

Fax

(801) 446-1474

NPI assigned

Nov 15, 2006

Last updated

May 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Merit-based Incentive Payment System (MIPS)

Final score

61.24 of 100Reported as group

Quality

58.16

Promoting interoperability

0

Improvement activities

40

Cost

62.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Senior Health LLC

  dba Senior Health - Physician Services

  • Geriatric Medicine (Family Medicine) Physician
  • Woods Cross, UT
  • NPI 1134721228
  Medicare reassignment Care Compare group NPD
• Twin Peaks Medical P.C.

  • Podiatrist
  • West Jordan, UT
  • NPI 1508079310
  Medicare reassignment Authorized official
• Wasatch Hyperbaric Center Inc

  • Internal Medicine Physician
  • Taylorsville, UT
  • NPI 1215123898
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1447323886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95421",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950421",
            "telephone_number": "801-446-4768",
            "fax_number": "801-446-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 SPRUCE CREEK LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952408",
            "telephone_number": "801-446-4768",
            "fax_number": "801-446-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "DPM MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "288117-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Jay Johnson, LCSW
• Caroleen Johnson, APRN
• Danielle Johnson, RDN
• Erin Johnson
• James D Johnson, DDS
• Jennifer Johnson
• Kaidence Johnson
• Laura A Johnson, M.D.
• Quinta C Johnson, DNP, CNM
• Randy Ray Johnson

• Foot & Ankle Surgery Podiatrist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.