Active NPI
Robert Ernest Johnson, D.O
- Orthopaedic Surgery Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- Q4148
- Practice address
- 6020 W Parker Rd
Suite 200
Plano, TX 75093-8171 - Phone
- (972) 608-5000
- Fax
- (972) 608-5020
- NPI assigned
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Q4148 | TX | Primary |
Addresses
Primary practice location
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Mailing address
7664 William Cir
West Jordan, UT 84084-3717
Phone (801) 808-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1595 Yellowstone Ave
Pocatello, ID 83201-4203
Phone (208) 233-0032
2321 Coronado St
Idaho Falls, ID 83404-7407
3720 Woodking Dr
Idaho Falls, ID 83404-4720
Phone (208) 227-1100
Hospital & facility affiliations
- Enhabit Home Health of Eastern Idaho
- Enhabit Home Health of Idaho
- Mountain View Hospital
- Idaho Falls Community Hospital, LLC
- Portneuf Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 75 |
| Laminectomy or laminotomy (partial removal of spine bones) | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4148 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopaedics Management and Consulting, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| BMH Inc | Current | Accepting new patients | |
| Summit Orthopaedics Management and Consulting, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
3720 Woodking Dr
Idaho Falls, ID 83404
Phone (208) 227-1100
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
Interoperability endpoints
- robertjohnson@bmh.medalliesdirect.net
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1851485031
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Durable Medical Equipment & Medical Supplies
- Idaho Falls, ID
- NPI 1962545681
Orthopaedic Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- Home Health Agency
- Twin Falls, ID
- NPI 1801884374
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1497069868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7664 WILLIAM CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840843717",
"telephone_number": "801-808-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W PARKER RD",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938171",
"telephone_number": "972-608-5000",
"fax_number": "972-608-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "Q4148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.