Cory T Johnson MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD24075 Issued in OR

Legal business name

CORY T JOHNSON MD PC

Practice address

3000 Bryant Williams Dr
Suite 100
Klamath Falls, OR 97601-1139

Phone

(541) 274-2345

Fax

(541) 274-4666

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Cory Todd Johnson, MD

Title

MD/Ceo

Phone

(541) 274-2345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1558516005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "SUITE F",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-850-0490",
            "fax_number": "541-850-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BRYANT WILLIAMS DR",
            "address_2": "SUITE 100",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011139",
            "telephone_number": "541-274-2345",
            "fax_number": "541-274-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY T JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "541-274-2345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD24075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Corey, M.ED, BCBA, LBA
• Gabrielle Cornelia
• James Cornell, BS
• Evangelina Cortez, MA
• Crystal Lee Ann Houser Corveirich, THW BIRTH DOULA
• Letisha Danielle Corzine, CADC, THW, CRM
• Lawrence Daniel Cottingham, RBAI
• Jessica Couch, MD, MCR
• Jennifer Brooke Coulter, RN
• Courage to Change Counseling, LLC

• Obstetrics & Gynecology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.