NPIMap

Individual provider Active NPI

Dwight C Johnson, DO

  • Internal Medicine Physician
  • West Chester, PA
National Provider Identifier
1598738833
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS007597L Issued in PA
Practice address
419 N. Franklin Street
Suite 3
West Chester, PA 19380-4435
Phone
(610) 344-7703
Fax
(610) 344-7797
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS007597L PA Primary

Addresses

Primary practice location

419 N. Franklin Street
Suite 3
West Chester, PA 19380-4435

Mailing address

419 N. Franklin Street
Suite 3
West Chester, PA 19380-4435
Phone (610) 344-7703

Other identifiers 3

IdentifierTypeStateIssuer
85992OtherPAAETNA
2346974001OtherPAKEYSTONE
868042YHGLOtherPAMEMBER PROVIDER IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000531 PA Practitioner - Internal Medicine 3971563040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 E Marshall St
West Chester, PA 19380-4412

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Internal Medicine Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 1, 2015 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Gateway Medical Associates, PC Internal Medicine PastSince Apr 1, 2008 Accepting new patients
Chester County Hospital Past Accepting new patients
Pentahealth, LLC Internal Medicine PastSince Oct 1, 2020 Accepting new patients

Locations

839 Lincoln Ave
Unit A
West Chester, PA 19380
Phone (610) 241-3050

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 7

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

Hospital & facility affiliations 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1598738833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N. FRANKLIN STREET",
            "address_2": "SUITE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804435",
            "telephone_number": "610-344-7703",
            "fax_number": "610-344-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N. FRANKLIN STREET",
            "address_2": "SUITE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804435",
            "telephone_number": "610-344-7703",
            "fax_number": "610-344-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DWIGHT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS007597L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "85992",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2346974001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER PROVIDER IDENTIFICATION NUMBER",
            "identifier": "868042YHGL",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.