Individual provider Active NPI

Alan Wright Johnson Sr., M.D.

  • General Practice Physician
  • Macungie, PA
National Provider Identifier
1831532563
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD017823E Issued in PA
Practice address
6774 Stone Croft Cir
Macungie, PA 18062-9210
Phone
(610) 967-2548
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD017823E PA Primary

Addresses

Primary practice location

6774 Stone Croft Cir
Macungie, PA 18062-9210

Mailing address

6774 Stone Croft Cir
Macungie, PA 18062-9210
Phone (610) 967-2548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325002152 PA Order and Referring Only - General PracticePractitioner - General Practice 7810214103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1831532563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6774 STONE CROFT CIR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629210",
            "telephone_number": "610-967-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6774 STONE CROFT CIR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629210",
            "telephone_number": "610-967-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALAN",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD017823E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.