Individual provider Active NPI

John Robert Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Lucas, OH
National Provider Identifier
1487605283
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN140884 Issued in OH
Practice address
3300 Welty Rd
Lucas, OH 44843-9729
Phone
(419) 566-4152
Fax
(419) 842-3875
NPI assigned
May 15, 2006
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN140884 OH Primary

Addresses

Primary practice location

3300 Welty Rd
Lucas, OH 44843-9729

Mailing address

PO Box 14806
Columbus, OH 43214-0806
Phone (614) 261-3723

Other identifiers 3

IdentifierTypeStateIssuer
0909726MedicaidOH
000000187654OtherANTHEM
430062329OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000619 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072670256 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians
Ohio Eye Associates IncGroup PAC ID 9234190745, 6 clinicians

Practice addresses (Care Compare)

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN140884OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Associates, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Galion Community Hospital CurrentSince Dec 6, 2014 Accepting new patients
East Columbus Surgery Center LLC CurrentSince Jun 18, 2014 Accepting new patients
Galion Community Hospital CurrentSince Dec 6, 2014 Accepting new patients
Anesthesia Associates of Mansfield, Inc CurrentSince Feb 11, 2015 Accepting new patients
Ohio Eye Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 20, 2002 Accepting new patients
East Columbus Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2014 Accepting new patients
Firelands Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 22, 2018 Accepting new patients
Ohio Eye Associates, Inc. CurrentSince May 20, 2002 Accepting new patients
Clinic Physician Services Co. LLC Past Accepting new patients
Elyria Anesthesia Incorporated PastSince May 17, 1993 Accepting new patients
Westgate Pain Management Group, LLC Past Accepting new patients
Westgate Medical Anesthesia Group Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

50 McNaughten Rd
Ste 102
Columbus, OH 43213
Phone (614) 864-0641

269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547

1030 Cricket Ln
Mansfield, OH 44906
Phone (419) 774-9410

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

466 S Trimble Rd
Ste A
Mansfield, OH 44906

799 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-5137

2981 W 4th St
Ontario, OH 44906
Phone (419) 468-0505

715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.johnson.p2@direct.icanseeclearly.nextgenshare.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1487605283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14806",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432140806",
            "telephone_number": "614-261-3723",
            "fax_number": "614-447-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WELTY RD",
            "city": "LUCAS",
            "state": "OH",
            "postal_code": "448439729",
            "telephone_number": "419-566-4152",
            "fax_number": "419-842-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN140884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909726",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000187654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430062329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucas, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.