NPIMap

Organization Active NPI

Johnny E Johnson Jr M D P C

Doing business as Western OBGYN Associates

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1679626204
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22809 Issued in CO
Legal business name
JOHNNY E JOHNSON JR M D P C
Doing business as
Western OBGYN Associates
Practice address
4545 E 9TH Ave
Suite 300
Denver, CO 80220-3901
Phone
(303) 261-3825
Fax
(303) 261-3827
NPI assigned
Jan 18, 2007
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Dr. Johnny Emanuel Johnson Jr., MDNPI 1588692628
Title
Owner
Phone
(303) 261-3825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22809 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave
Suite 300
Denver, CO 80220-3901

Mailing address

4545 E 9TH Ave
Suite 130
Denver, CO 80220-3901
Phone (303) 261-3825

Other names 1

  • Western OBGYN Associates Doing business as

National Provider Directory

National Provider Directory

Locations

7701 E 1st Pl
Ste D
Denver, CO 80230
Phone (303) 339-6470

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1679626204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-261-3825",
            "fax_number": "303-261-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-261-3825",
            "fax_number": "303-261-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY E JOHNSON JR M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-261-3825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "22809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western OBGYN Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.