Active NPI
Warford B Johnson II, MD
- Cardiovascular Disease Physician
- Ozark, MO
National Provider Identifier
1699718569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R4304
- Practice address
- 3100 State Hwy W
Ozark, MO 65721-8135 - Phone
- (417) 849-2077
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R4304 | MO | Primary |
Addresses
Primary practice location
3100 State Hwy W
Ozark, MO 65721-8135
Mailing address
3100 State Hwy W
Ozark, MO 65721-8135
Phone (417) 849-2077
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01212545 | Other | MO | RAIL ROAD MEDICARE |
| 201933512 | Medicaid | MO | |
| 6132 | Other | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1326099383
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Multi-Specialty Clinic/Center
- Houston, MO
- NPI 1306885587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1699718569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 STATE HWY W",
"city": "OZARK",
"state": "MO",
"postal_code": "657218135",
"telephone_number": "417-849-2077",
"fax_number": "417-359-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 STATE HWY W",
"city": "OZARK",
"state": "MO",
"postal_code": "657218135",
"telephone_number": "417-849-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WARFORD",
"middle_name": "B",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R4304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01212545",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201933512",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "6132",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.