Rodney J Johnson, MD, PS, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

00020967 Issued in WA

Legal business name

RODNEY J JOHNSON, MD, PS, INC

Practice address

1600 116TH Ave NE
Suite 302
Bellevue, WA 98004-3014

Phone

(425) 455-5440

Fax

(425) 455-1431

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rodney James Johnson, M.D., PH.D.

Title

President

Phone

(425) 455-5440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1629343926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "425-455-5440",
            "fax_number": "425-455-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043014",
            "telephone_number": "425-455-5440",
            "fax_number": "425-455-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY J JOHNSON, MD, PS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-455-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "00020967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1096478",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Rochefort
• Jillian Rock
• Rose Leone Rodda, LMP
• Geoffrey T Rodey, MD
• Erin Cram Rodgers, CCC-SLP
• Derek M Rodrigues, M.D.
• Bertha Rodriguez Rodriguez, CD
• Erika Jisell Rodriguez-Montoya
• Arlana Rodriguez
• Glorivette Rodriguez

• Medical Specialty Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Medical Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.