Lynn M. Johnson MD, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35083078J Issued in OH

Legal business name

LYNN M. JOHNSON MD, PLLC

Practice address

550 Trumbull Ave
Cortland, OH 44410-9403

Phone

(330) 637-2000

Fax

(330) 637-2001

NPI assigned

Oct 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Marie Johnson, MDNPI 1043203821

Title

Owner

Phone

(330) 637-2000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Marie Johnson, M.D.

  • Pediatrics Physician
  • Cortland, OH
  • NPI 1043203821
  Authorized official Same address or phone
• Shelby Kolat, FNP-C

  • Pediatric Nurse Practitioner
  • Cortland, OH
  • NPI 1427733849
  NPD
• Aleasa Marie King, FNP-BC

  • Family Nurse Practitioner
  • Cortland, OH
  • NPI 1154860336
  NPD (past)
• Audrey M Swank, PA-C

  • Physician Assistant
  • Cortland, OH
  • NPI 1093257867
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1568613099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TRUMBULL AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109403",
            "telephone_number": "330-637-2000",
            "fax_number": "330-637-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TRUMBULL AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109403",
            "telephone_number": "330-637-2000",
            "fax_number": "330-637-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. JOHNSON MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-637-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35083078J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Clinical Counseling and Spiritual Wellness LLC
• Dale P Lindsey, O.D.
• Tyler A. Logan
• Christopher F Lombard, RN
• Julie Loyke, CRNP
• Alexandria Manno
• Maplewood Local School District
• Patricia Ann Marburger, RN
• Robert Michael Marcus
• Sandra Kay Martin, LPN

• Pediatrics Physician in Cortland, OH
• Providers in Cortland, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.