Richard Eric Johnson, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20908 Issued in OK

Practice address

3401 W Gore Blvd
Department of Anesthesiology
Lawton, OK 73502-0129

Phone

(580) 355-8620

Fax

(580) 536-2292

NPI assigned

Aug 29, 2005

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

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.

• Laser Spine Institute, LLC

  • Specialist
  • Tampa, FL
  • NPI 1265483895
  NPD (past)
• Laser Spine Institute, LLC

  • Clinic/Center
  • Cincinnati, OH
  • NPI 1467844076
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1477546042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020785",
            "telephone_number": "580-355-8620",
            "fax_number": "580-357-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020129",
            "telephone_number": "580-355-8620",
            "fax_number": "580-536-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "20908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy T Johnson, LCSW
• Naomi W Johnson, M.A
• Natalie Lynn Johnson, DO
• Nijiah Johnson
• Reanna Johnson
• Roger Groom Johnson, DMD
• Sandra Louise Johnson, PA
• Sharonica Johnson, MS
• Tara Johnson
• Tiffany Johnson

• Anesthesiology Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.