Individual provider Active NPI

Eugene William Johnson, MD

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1851307276
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34986 Issued in AZ
Practice address
5860 N la Cholla Blvd Ste 150
Tucson, AZ 85741-3562
Phone
(520) 395-0512
Fax
(520) 505-4108
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34986 AZ Primary

Addresses

Primary practice location

5860 N la Cholla Blvd Ste 150
Tucson, AZ 85741-3562

Mailing address

PO Box 70232
Tucson, AZ 85737-0030
Phone (520) 395-0512

Other identifiers 1

IdentifierTypeStateIssuer
347495MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070726000654 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 8729189337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7494 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 395-0512

Merit-based Incentive Payment System (MIPS)

Final score
23.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34986AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sports and Spine LLC Physical Medicine & Rehabilitation CurrentSince Nov 22, 2009 Accepting new patients
Origen Orthopedics & Optimal Health Physical Medicine & Rehabilitation Past Accepting new patients

Locations

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

18861 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5400

5860 N La Cholla Blvd
Ste 150
Tucson, AZ 85741

7494 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 544-0906

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAGAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1851307276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70232",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857370030",
            "telephone_number": "520-395-0512",
            "fax_number": "520-505-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 N LA CHOLLA BLVD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413562",
            "telephone_number": "520-395-0512",
            "fax_number": "520-505-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EUGENE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "34986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347495",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.