Organization Active NPI

Johnson Anesthesia Associates PA

  • Anesthesiology Physician
  • Odessa, TX
National Provider Identifier
1679859110
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G5225 Issued in TX
Legal business name
JOHNSON ANESTHESIA ASSOCIATES PA
Practice address
3211 Blossom LN
Odessa, TX 79762-6938
Phone
(432) 352-2447
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Mark Lynn Johnson, MDNPI 1427023365
Title
President
Phone
(432) 352-2447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G5225 TX Primary

Addresses

Primary practice location

3211 Blossom LN
Odessa, TX 79762-6938

Mailing address

3211 Blossom LN
Odessa, TX 79762-6938
Phone (432) 352-2447

National Provider Directory

National Provider Directory

Locations

500 W 4th St
#0
Odessa, TX 79761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1679859110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 BLOSSOM LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626938",
            "telephone_number": "432-352-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BLOSSOM LN",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626938",
            "telephone_number": "432-352-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ANESTHESIA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-352-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "G5225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.