Douglas C Johnson, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

33922 Issued in CO

Practice address

36 Oak Street
Buena Vista, CO 81211-3129

Phone

(719) 395-8632

Fax

(719) 395-4971

NPI assigned

Oct 19, 2006

Last updated

Jan 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Doug Johnson MD PC

  • Gynecology Physician
  • Buena Vista, CO
  • NPI 1184741837
  NPD (past) Authorized official
• Mountain Medical Center of Buena Vista, PC

  • Family Medicine Physician
  • Buena Vista, CO
  • NPI 1386728640
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1659453892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812113129",
            "telephone_number": "719-395-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK STREET",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812113129",
            "telephone_number": "719-395-8632",
            "fax_number": "719-395-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "33922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund M Herb, OD
• Beth Anne Hervey Duren, LCSW
• High Rockies Counseling Services
• Richard Kirtland Hine, PHARM.D.
• Integrated Medical Consultants (Colorado Clinic)
• Tessa Johnson
• Anna M Jones, M.D.
• Nicholas Daniel Jones, P.T.
• Kids Dental Hygiene, LLC
• Kikta Behavioral Health LLC

• Gynecology Physician in Buena Vista, CO
• Providers in Buena Vista, CO by specialty
• Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.