Active NPI
Jeffrey P Johnson, M.D.
- Neurological Surgery Physician
- Portland, OR
National Provider Identifier
1457326647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD22577
- Practice address
- 9427 SW Barnes Rd Ste 595
Portland, OR 97225-6640 - Phone
- (503) 291-1960
- Fax
- (503) 297-9195
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD22577 | OR | Primary |
Addresses
Primary practice location
9427 SW Barnes Rd Ste 595
Portland, OR 97225-6640
Mailing address
9427 SW Barnes Rd Ste 595
Portland, OR 97225-6640
Phone (503) 291-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288166 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Columbia University College of Physicians and Surgeons, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9155 SW Barnes Rd
Suite 836
Portland, OR 97225-6635
Phone (503) 291-1960
Hospital & facility affiliations
- Providence St Vincent Medical Center
- Columbia Memorial Hospital
- Providence Seaside Hospital
- Adventist Health Tillamook
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 27 |
| Laminectomy or laminotomy (partial removal of spine bones) | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22577 | OR | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Neurosurgery PC | Neurological Surgery | Current | Accepting new patients |
| Northwest Spine and Laser Surgery Center LLC | Past | Accepting new patients |
Locations
9155 SW Barnes Rd
Ste 836
Portland, OR 97225
Phone (503) 291-1960
9427 SW Barnes Rd
Ste 595
Portland, OR 97225
Phone (503) 216-1150
Interoperability endpoints
- jeffrey.johnson.1@33239.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Portland, OR
- NPI 1588869572
-
- Ambulatory Surgical Clinic/Center
- Wilsonville, OR
- NPI 1578817078
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1699146159
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1841451853
Hospital
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1457326647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD STE 595",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256640",
"telephone_number": "503-291-1960",
"fax_number": "503-297-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD STE 595",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256640",
"telephone_number": "503-291-1960",
"fax_number": "503-297-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEFFREY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD22577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288166",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.