Organization Active NPI

Dr. Warren H. Johnson, Podiatrist, PC

  • Podiatric Clinic/Center
  • New Orleans, LA
National Provider Identifier
1891054110
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
207800 Issued in LA
Legal business name
DR. WARREN H. JOHNSON, PODIATRIST, PC
Practice address
6305 Elysian Fields Ave
Suite 204
New Orleans, LA 70122-4245
Phone
(504) 286-0202
Fax
(504) 286-0702
NPI assigned
May 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Dr. Carolyn J. Johnson, PH.D.
Title
VP/Administrator
Phone
(504) 286-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 207800 LA Primary

Addresses

Primary practice location

6305 Elysian Fields Ave
Suite 204
New Orleans, LA 70122-4245

Mailing address

6305 Elysian Fields Ave
Suite 204
New Orleans, LA 70122-4245
Phone (504) 286-0202

Other identifiers 1

IdentifierTypeStateIssuer
1969435MedicaidLA

National Provider Directory

National Provider Directory

Locations

6305 Elysian Fields Ave
Ste 204
New Orleans, LA 70122
Phone (504) 286-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1891054110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 ELYSIAN FIELDS AVE",
            "address_2": "SUITE 204",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224245",
            "telephone_number": "504-286-0202",
            "fax_number": "504-286-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 ELYSIAN FIELDS AVE",
            "address_2": "SUITE 204",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224245",
            "telephone_number": "504-286-0202",
            "fax_number": "504-286-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WARREN H. JOHNSON, PODIATRIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP/ADMINISTRATOR",
        "authorized_official_telephone_number": "504-286-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "LA",
            "license": "207800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969435",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.