Active NPI
Jerrold E. Johnson, M.D.
- Family Medicine Physician
- Livingston, MT
National Provider Identifier
1689761389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2963
- Practice address
- Community Health Partners
126 South Main Street
Livingston, MT 59047 - Phone
- (406) 222-1111
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2963 | MT | Primary |
Addresses
Primary practice location
Community Health Partners
126 South Main Street
Livingston, MT 59047
Mailing address
Community Health Partners
126 South Main Street
Livingston, MT 59047
Phone (406) 222-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044098 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2963 | MT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689761389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMUNITY HEALTH PARTNERS",
"address_2": "126 SOUTH MAIN STREET",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "406-222-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMMUNITY HEALTH PARTNERS",
"address_2": "126 SOUTH MAIN STREET",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "406-222-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JERROLD",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "2963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0044098",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livingston, MT
- Jacqueline K Isaly, LAC
- Gary A Jagodzinski, DDS
- Hettie Jans Wortelboer, M.S., LCPC
- Rachel R. Jergenson, PSYD
- Janella Johnson, LCSW
- Kathryn Jones McQuillan, BCBA
- Justin K Roberts MD PA
- Lyndon Robert Kacick, LAC
- KC's Western Drug, Inc (Western Drug Compounding Pharmacy)
- KCS Western Drug Inc (Western Drug Long Term Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.