Stephanie Jo Johnson, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

5966 Issued in SD

Practice address

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019

Phone

(605) 322-7200

Fax

(605) 322-7222

NPI assigned

Aug 11, 2006

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in SD, CO, NE3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Pathology

Education

Vanderbilt University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit PathologyGroup PAC ID 3971595968, shared by 4 NPIs, 27 clinicians

Western Pathology Consultants, PCGroup PAC ID 9032188362, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
• Chadron Hospital Hospital, Chadron, NE, CCN 281341
• Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
• Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Western Pathology Consultants, PC

  • Clinical Medical Laboratory
  • Scottsbluff, NE
  • NPI 1588674980
  Medicare reassignment Care Compare group NPD Authorized official
• Summit Pathology

  • Anatomic Pathology Physician
  • Scottsbluff, NE
  • NPI 1568342814
  Medicare reassignment NPD
• Summit Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Loveland, CO
  • NPI 1912966458
  Medicare reassignment NPD
• Physicians Laboratory, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux Falls, SD
  • NPI 1891747093
  Medicare reassignment
• Summit Pathology

  • Clinical Medical Laboratory
  • Loveland, CO
  • NPI 1396971123
  NPD

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

• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Care Compare affiliation
• Chadron Community Hospital Corp.

  dba Chadron Community Hospital and Health Services

  • Critical Access Hospital
  • Chadron, NE
  • NPI 1467675629
  Care Compare affiliation
• Gordon Memorial Hospital

  dba Gordon Memorial Hospital Physical Therapy

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849
  Care Compare affiliation
• Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
  • NPI 1609816149
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1629089800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5050",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175050",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051007",
            "country_code": "US",
            "telephone_number": "605-322-7200",
            "fax_number": "605-322-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "21154",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "36940",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SD",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642398100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114658100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807247600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9173120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7706280",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220026517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA HEALTH CARE COST",
            "identifier": "896110",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30180",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C Johnson, MD
• Ryan M. Johnson, D.C
• Sarah Corrine Johnson, AU.D.
• Sean Johnson
• Steffanie Victoria Antoinette Johnson, RN
• Susan Lee Johnson
• Thomas James Johnson, PHARM.D., BCPS
• Tyler Johnson, LCSW, LAC
• Virginia P Johnson, MD
• Zachary Johnson, PT, DPT

• Anatomic Pathology & Clinical Pathology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.