NPIMap

Organization Active NPI

Warren T. Johnson

Doing business as Owl Creek Medical

  • Family Medicine Physician
  • Brighton, CO
National Provider Identifier
1801236948
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24827 Issued in CO
Legal business name
WARREN T. JOHNSON
Doing business as
Owl Creek Medical
Practice address
70 S 20TH Ave
Suite H
Brighton, CO 80601-3703
Phone
(303) 655-1111
Fax
(303) 655-1172
NPI assigned
Jul 3, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dr. Warren T Johnson, MDNPI 1457381279
Title
Ceo
Phone
(303) 655-1111

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
Family Medicine Physician 207Q00000X 24827 CO Primary

Addresses

Primary practice location

70 S 20TH Ave
Suite H
Brighton, CO 80601-3703

Mailing address

70 S 20TH Ave
Suite H
Brighton, CO 80601-3703
Phone (303) 655-1111

Other identifiers 1

IdentifierTypeStateIssuer
01248277MedicaidCO

Other names 1

  • Owl Creek Medical Doing business as

National Provider Directory

National Provider Directory

Locations

70 S 20th Ave
Ste H
Brighton, CO 80601
Phone (303) 655-1111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1801236948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S 20TH AVE",
            "address_2": "SUITE H",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013703",
            "telephone_number": "303-655-1111",
            "fax_number": "303-655-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S 20TH AVE",
            "address_2": "SUITE H",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013703",
            "telephone_number": "303-655-1111",
            "fax_number": "303-655-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN T. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-655-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owl Creek Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.