Active NPI
Dr. Warren H. Johnson, Podiatrist, PC
- Podiatric Clinic/Center
- New Orleans, LA
National Provider Identifier
1891054110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 207800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1969435 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- New Orleans, LA
- NPI 1750390142
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.