Scott Johnson

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60544542 Issued in WA

Practice address

4280 Meridian St Ste 120
Bellingham, WA 98226-6464

Phone

(360) 734-4300

Fax

(360) 734-2128

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.johnson.p13@direct.proliance.nextgenshare.com

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.

• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment Care Compare group
• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463

  Surgical

  NPD
• Proliance Surgeons Inc P S

  dba Proliance Pacific Rim Orthopedic Surgeons

  • Multi-Specialty Clinic/Center
  • Bellingham, WA
  • NPI 1801497995

  Physician Assistant

  NPD
• Care Medical Group, Inc. P.S.

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1346261500
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1477949824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MERIDIAN ST STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266464",
            "telephone_number": "360-734-4300",
            "fax_number": "360-734-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MERIDIAN ST STE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266464",
            "telephone_number": "360-734-4300",
            "fax_number": "360-734-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2979 Squalicum Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251813",
            "country_code": "US",
            "telephone_number": "360-733-7670",
            "fax_number": "360-647-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60544542",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60544542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Johnson
• Nora Johnson, PMUA
• Rebecca Cowan Johnson, PH.D.
• Rita Lorena Johnson, BHS
• Rosanna Johnson, LMT
• Shelley Johnson
• Sierra Grace Johnson
• Tracy Johnson
• Tyree Connor Johnson, LMP
• Ellen Johnston, A.R.N.P.

• Surgical Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.