Individual provider Active NPI

Cheryl Jackson Johnson, M.D.

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1497921456
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
89283 Issued in OH
Practice address
1 Park West Blvd
Suite 200
Akron, OH 44320-4218
Phone
(330) 923-3138
Fax
(330) 923-9652
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 89283 OH Primary

Addresses

Primary practice location

1 Park West Blvd
Suite 200
Akron, OH 44320-4218

Mailing address

1 Park West Blvd
Suite 200
Akron, OH 44320-4218
Phone (330) 923-3138

Other identifiers 1

IdentifierTypeStateIssuer
2827801MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080909000742 OH Practitioner - Obstetrics/Gynecology 3173699493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89283OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Obstetrics & Gynecology Current Accepting new patients
Summa Physicians LLC CurrentSince Jul 1, 2008 Accepting new patients
Summa Physicians LLC CurrentSince Jul 1, 2008 Accepting new patients
Summa Health System Past Accepting new patients

Locations

1 Park West Blvd
Ste 200
Akron, OH 44320
Phone (330) 835-9158

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

75 Arch St
Ste 501
Akron, OH 44304
Phone (330) 319-9700

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Interoperability endpoints

  • Direct secure messaging: cjohnson25656@summahealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1497921456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-923-3138",
            "fax_number": "330-923-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WEST BLVD",
            "address_2": "SUITE 200",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204218",
            "telephone_number": "330-923-3138",
            "fax_number": "330-923-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERYL",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "89283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2827801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.