Individual provider Active NPI

Margery R Johnson, M.D.

  • Psychiatry Physician
  • Oro Valley, AZ
National Provider Identifier
1598835167
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172833 Issued in CA
Practice address
1500 E Pusch Wilderness Dr Unit 3102
Oro Valley, AZ 85737-6027
Phone
(520) 591-5413
Fax
(520) 595-3466
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 59256 AZ
Psychiatry Physician 2084P0800X D0093183 MD
Psychiatry Physician 2084P0800X 0101274199 VA
Child & Adolescent Psychiatry Physician 2084P0804X 036063118 IL
Psychiatry Physician 2084P0800X 172833 CA Primary

Addresses

Primary practice location

1500 E Pusch Wilderness Dr Unit 3102
Oro Valley, AZ 85737-6027

Mailing address

1500 E Pusch Wilderness Dr Unit 3102
Oro Valley, AZ 85737-6027
Phone (520) 591-5413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59256AZMDPsychiatry Physician
172833CAMDPsychiatry Physician
D0093183MDMDPsychiatry Physician
0101274199VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Lurie Children'S Medical Group Child & Adolescent Psychiatry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1598835167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E PUSCH WILDERNESS DR UNIT 3102",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857376027",
            "telephone_number": "520-591-5413",
            "fax_number": "520-595-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E PUSCH WILDERNESS DR UNIT 3102",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857376027",
            "telephone_number": "520-591-5413",
            "fax_number": "520-595-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARGERY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "59256",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0093183",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101274199",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036063118",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "172833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.