Ronald L Johnson

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

143946 Issued in IL

Legal business name

RONALD L JOHNSON

Doing business as

PIKE COUNTY FAMILY PRACTICE

Practice address

1073 W Washington St
Pittsfield, IL 62363-1666

Phone

(217) 285-9661

Fax

(217) 285-4641

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ronald L Johnson, MD

Title

Owner/Physician

Phone

(217) 285-9661

Specialties & licenses 1

Addresses

Other names 1

• PIKE COUNTY FAMILY PRACTICE Doing business as

Tax ID family

Pike County Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ronald L Johnson

  • Rural Health Clinic/Center
  • Winchester, IL
  • NPI 1629078688
  NPD tax ID

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720088776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631666",
            "telephone_number": "217-285-9661",
            "fax_number": "217-285-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 W WASHINGTON ST",
            "city": "PITTSFIELD",
            "state": "IL",
            "postal_code": "623631666",
            "telephone_number": "217-285-9661",
            "fax_number": "217-285-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "217-285-9661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": "143946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIKE COUNTY FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quincy Physicians & Surgeons Clinic, PLLC
• Quincy Physicians & Surgeons Clinic, PLLC
• Ayca Raif, MD
• Michelle Lynn Resiche
• Morgan Kathleen Robinson, LSW
• Diana Lynette Roth
• Robert Rowles, CRNA
• Brandi N. Ruzich, PHYSICAL THERAPIST
• Eden Ryan
• Tracy Schutte

• Rural Health Clinic/Center in Pittsfield, IL
• Providers in Pittsfield, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.