Ronald A Johnson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

24691 Issued in CO

Practice address

3615 Hill Cir
Colorado Springs, CO 80904-1076

Phone

(719) 590-1800

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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 CO

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

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1487759254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HILL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041076",
            "telephone_number": "719-590-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HILL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041076",
            "telephone_number": "719-590-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "24691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D24492",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Johnson
• Rachel Dawn Johnson, SLP
• Rebecca Elizabeth Johnson, DPT
• Robin Elizabeth Johnson
• Rodger Johnson Jr.
• Ronte Johnson
• Ryan Lee Johnson, BCBA
• Sara C Johnson, O.D.
• Scott A Johnson, DMD, MS
• Stanley Mark Johnson, M.D.

• Dermatology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.