Individual provider Active NPI

Steven M. Johnson, M.D.

  • Family Medicine Physician
  • Sedona, AZ
National Provider Identifier
1538200571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19353 Issued in AZ
Practice address
2155 W Highway 89a Ste 113
Sedona, AZ 86336-5445
Phone
(928) 282-2964
Fax
(928) 282-6587
NPI assigned
Feb 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19353 AZ Primary

Addresses

Primary practice location

2155 W Highway 89a Ste 113
Sedona, AZ 86336-5445

Mailing address

2155 W Highway 89a Ste 113
Sedona, AZ 86336-5445
Phone (928) 282-2964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051129000115 AZ Practitioner - Family Practice 6204856834 Practice locations: Sedona, AZ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2155 W Hwy 89a
Suite 113
Sedona, AZ 86336-5445
Phone (928) 282-2964

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538200571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W HIGHWAY 89A STE 113",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-282-2964",
            "fax_number": "928-282-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W HIGHWAY 89A STE 113",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365445",
            "telephone_number": "928-282-2964",
            "fax_number": "928-282-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.