Active NPI
Steven D Johnson, M.D.
- Cardiovascular Disease Physician
- Greenville, SC
National Provider Identifier
1740272392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 19557
- Practice address
- 2 Innovation Dr
Suite 40
Greenville, SC 29607-5261 - Phone
- (864) 235-7665
- Fax
- (864) 233-5971
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 19557 | SC | Primary |
Addresses
Primary practice location
2 Innovation Dr
Suite 40
Greenville, SC 29607-5261
Mailing address
2 Innovation Dr
Suite 40
Greenville, SC 29607-5261
Phone (864) 235-7665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0975 | Medicaid | SC |
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 |
|---|---|---|---|
| Innervision Inc | Past | Accepting new patients | |
| Upstate Cardiology PA | Cardiovascular Disease | Past | Accepting new patients |
| St Francis Physician Services Inc | 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.
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-
- Family Medicine Physician
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- NPI 1295769438
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1841283173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1740272392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INNOVATION DR",
"address_2": "SUITE 40",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075261",
"telephone_number": "864-235-7665",
"fax_number": "864-233-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INNOVATION DR",
"address_2": "SUITE 40",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075261",
"telephone_number": "864-235-7665",
"fax_number": "864-233-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "19557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0975",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.