Rick Johnson, D.O., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

05-21868 Issued in KS

Legal business name

RICK JOHNSON, D.O., P.A.

Practice address

2317 Wildwood LN
Manhattan, KS 66502-3610

Phone

(785) 473-6848

Fax

(785) 263-3979

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Rick Johnson, DO

Title

Owner

Phone

(785) 473-7060

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1508975145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 WILDWOOD LN",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023610",
            "telephone_number": "785-473-6848",
            "fax_number": "785-263-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 WILDWOOD LN",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023610",
            "telephone_number": "785-473-6848",
            "fax_number": "785-263-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK JOHNSON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-473-7060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "05-21868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235990A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "040648",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjwildcat@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2317 Wildwood Ln",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665023610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Vivian Amaya Richardson
• Rebekah R Ricketts, RN
• Jace James Rickstrew, MD
• Kelsi Rietcheck
• Ronald Riley
• James E Rincon, BS, LAC

• Obstetrics & Gynecology Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.