Individual provider Active NPI

Michael J Johnson, MD

  • Hematology & Oncology Physician
  • Longmont, CO
National Provider Identifier
1841274495
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
29384 Issued in CO
Practice address
2030 Mountain View Ave
Suite 210
Longmont, CO 80501-3178
Phone
(303) 684-1900
Fax
(303) 684-1925
NPI assigned
Dec 6, 2005
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 29384 CO Primary

Addresses

Primary practice location

2030 Mountain View Ave
Suite 210
Longmont, CO 80501-3178

Mailing address

7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111-4723
Phone (303) 930-7800

Other identifiers 1

IdentifierTypeStateIssuer
01293844MedicaidCO

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

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1841274495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE",
            "address_2": "STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114723",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 210",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-684-1900",
            "fax_number": "303-684-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "29384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.