Paul Davis Johnson, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

14767 Issued in OK

Practice address

7100 S I 35 Service Rd
Suite # 7
Oklahoma City, OK 73149-2740

Phone

(405) 632-1002

Fax

(405) 632-3131

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.johnson.1@2760.direct.athenahealth.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.

• Lindsay Medical Plaza LLC

  • Family Medicine Physician
  • Lindsay, OK
  • NPI 1659756583
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1497971733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 S I 35 SERVICE RD",
            "address_2": "SUITE # 7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492740",
            "telephone_number": "405-632-1002",
            "fax_number": "405-632-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 S I 35 SERVICE RD",
            "address_2": "SUITE # 7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731492740",
            "telephone_number": "405-632-1002",
            "fax_number": "405-632-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OK",
            "license": "14767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lafaye Johnson, LPC
• Nina Johnson, MS
• Norma Faye Johnson
• Ny'Deiah Dai'Jon Johnson
• Orlando Johnson III
• Peter Neal Johnson, PHARM.D.
• Peyton Johnson, D.O.
• Quintrell Deshaun Johnson Sr.
• Rebecca A Johnson
• Renetta Lynn Johnson, BHRS

• Addiction Medicine (Family Medicine) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Addiction Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.