NPIMap

Organization Active NPI

Community Mercy Health Partners

Doing business as Donald B. Johnson, M.D.

  • Clinic/Center
  • Springfield, OH
National Provider Identifier
1598713638
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
N/A Issued in OH
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Doing business as
Donald B. Johnson, M.D.
Practice address
30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842
Phone
(937) 399-6922
Fax
(937) 399-2270
NPI assigned
May 4, 2006
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mr. Mark Wiener
Title
Ceo
Phone
(937) 328-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X N/A OH Primary

Addresses

Primary practice location

30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842

Mailing address

30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842
Phone (937) 399-6922

Other identifiers 1

IdentifierTypeStateIssuer
2733493MedicaidOH

Other names 1

  • Donald B. Johnson, M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy ER Physicians23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

2200 N Limestone St
Ste 102
Springfield, OH 45503
Phone (937) 399-5303

30 W McCreight Ave
Ste 209
Springfield, OH 45504
Phone (937) 390-3277

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1598713638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "SUITE 209",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-399-6922",
            "fax_number": "937-399-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "SUITE 209",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-399-6922",
            "fax_number": "937-399-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-328-9515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2733493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald B. Johnson, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.