Individual provider Active NPI

Mary Jones Johnson, D.P.M.

  • Podiatrist
  • Claremore, OK
National Provider Identifier
1578586673
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
231 Issued in OK
Practice address
1218 N Florence Ave
Claremore, OK 74017-3109
Phone
(918) 341-6821
Fax
(918) 342-8128
NPI assigned
Jul 26, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 231 OK Primary

Addresses

Primary practice location

1218 N Florence Ave
Claremore, OK 74017-3109

Mailing address

1218 N Florence Ave
Claremore, OK 74017-3109
Phone (918) 341-6821

Other identifiers 1

IdentifierTypeStateIssuer
200051760AMedicaidOK

Other names 1

  • Mary Jones Johnson Former name

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001173 OK Practitioner - Podiatry 9133195175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1218 N Florence Ave
Suite D
Claremore, OK 74017-4371
Phone (918) 341-6821

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as individual
Quality
59.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue365
Removal of skin lesions1-10
Removal of nail tissue72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
231OKMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Claremore Podiatry, P.C. Podiatrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

1218 N Florence Ave
Claremore, OK 74017
Phone (918) 341-6821

1218 N Florence Ave
Ste D
Claremore, OK 74017
Phone (918) 341-6821

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1578586673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173109",
            "telephone_number": "918-341-6821",
            "fax_number": "918-342-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173109",
            "telephone_number": "918-341-6821",
            "fax_number": "918-342-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES JOHNSON",
        "first_name": "MARY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JONES JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.