Active NPI
Donald Johnson, M.D.
- Gynecology Physician
- Springfield, OH
National Provider Identifier
1871521674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35.059928
- Practice address
- 30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842 - Phone
- (937) 399-6922
- Fax
- (937) 399-2270
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35.059928 | OH | Primary |
Addresses
Primary practice location
30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842
Mailing address
30 W McCreight Ave
Suite 209
Springfield, OH 45504-1842
Phone (937) 399-6922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0787779 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.059928 | OH | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1871521674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE",
"address_2": "SUITE 209",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041842",
"telephone_number": "937-399-6922",
"fax_number": "937-399-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W MCCREIGHT AVE",
"address_2": "SUITE 209",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041842",
"telephone_number": "937-399-6922",
"fax_number": "937-399-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35.059928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0787779",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.