James Lyndon Johnson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

23119 Issued in OK

Practice address

1705 W 2ND
Elk City, OK 73644-4455

Phone

(580) 225-2511

Fax

(580) 821-5536

NPI assigned

Aug 14, 2006

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

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Altus, OK
  • NPI 1982263752

  OK

  Medicare reassignment NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764

  Emergency Medicine

  NPD
• Shortgrass Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hollis, OK
  • NPI 1255695201
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Mangum City Hospital Authority

  • Critical Access Hospital
  • Mangum, OK
  • NPI 1033635263
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477566180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2339",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736482339",
            "telephone_number": "580-225-2511",
            "fax_number": "580-821-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 2ND",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444455",
            "telephone_number": "580-225-2511",
            "fax_number": "580-821-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "LYNDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "23119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00010436",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Hopkins Anesthesia Services PLLC
• Jesko Wellness
• Joe E. Coker, M.D.P.C.
• Derrick J. Johnson, PT
• James Johnson, CRNA
• Becky Jo Jones
• Brieana Jones, M.ED., LPC-C
• Gwendalynn Beth Jones
• Tricia Jordan
• Karla K. Keevert, MS, BHRS

• All providers in Elk City, OK
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.