Johnson and Keene MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOHNSON AND KEENE MD PC

Doing business as

Full Circle Health Associates

Practice address

2030 Mountain View Avenue
Suite 540
Longmont, CO 80501-3183

Phone

(303) 682-1112

Fax

(303) 702-5935

NPI assigned

Jul 18, 2007

Last updated

Aug 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy L Johnson, MDNPI 1275538555

Title

Owner

Phone

(303) 682-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Full Circle Health Associates Doing business as

Practitioners 1

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.

• Amy Lou Johnson, MD

  • Obstetrics & Gynecology Physician
  • Longmont, CO
  • NPI 1275538555
  NPD Authorized official

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1609076645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVENUE",
            "address_2": "SUITE 540",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013183",
            "telephone_number": "303-682-1112",
            "fax_number": "303-702-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVENUE",
            "address_2": "SUITE 540",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013183",
            "telephone_number": "303-682-1112",
            "fax_number": "303-702-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON AND KEENE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-682-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12979554",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jilcar Corporation
• Alison Hadley Jockel, NP
• Allison E Joel, MSW
• Andrew Mark Johanos
• John F. Schultz D.C. P.C.
• Amy Lou Johnson, MD
• Ann E Johnson, L.AC.
• Christine Cleora Johnson, M.D.
• Dale S. Johnson, M.D.
• Daniel P. Johnson, DDS, PC

• Specialist in Longmont, CO
• Providers in Longmont, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.