Individual provider Active NPI

Gregory J Johnson, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Rawlins, WY
National Provider Identifier
1467565754
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3772A Issued in WY
Practice address
2221 W Elm St
Rawlins, WY 82301-0460
Phone
(307) 324-2221
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Carbon County 38 clinicians

Practice addresses (Care Compare)

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

Hospital & facility affiliations

  • Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20101013000064 WY Practitioner - Emergency Medicine 9436341161 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3772AWYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Carbon County CurrentSince Jan 1, 2015 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jan 1, 2015 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients

Locations

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2012 Elm St
Rawlins, WY 82301
Phone (307) 234-0003

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3772A WY Primary

Addresses

NPPES NPI Registry

Primary practice location

2221 W Elm St
Rawlins, WY 82301-0460

Mailing address

PO Box 460
Rawlins, WY 82301-0460
Phone (307) 324-2221

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
102833200MedicaidWY
185872500OtherWYGROUP FED WRK COMP
1399310OtherWYUMWA
107205600MedicaidWY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2011.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1467565754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823010460",
            "telephone_number": "307-324-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W ELM ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823010460",
            "telephone_number": "307-324-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "WY",
            "license": "3772A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102833200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP FED WRK COMP",
            "identifier": "185872500",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1399310",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107205600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.