NPIMap

Organization Active NPI

Jeffrey P Johnson, MD PC

  • Surgery Physician
  • Delta, CO
National Provider Identifier
1891083010
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
50181 Issued in CO
Legal business name
JEFFREY P JOHNSON, MD PC
Practice address
95 Stafford LN
Delta, CO 81416-3465
Phone
(970) 874-8026
Fax
(970) 874-5430
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Jeffrey P Johnson, MDNPI 1316978976
Title
Physician/Owner
Phone
(970) 874-7119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 50181 CO Primary

Addresses

Primary practice location

95 Stafford LN
Delta, CO 81416-3465

Mailing address

PO Box 1129
Delta, CO 81416-1129
Phone (970) 874-2470

National Provider Directory

National Provider Directory

Locations

95 Stafford Ln
Delta, CO 81416
Phone (790) 874-8026

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": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1891083010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163465",
            "telephone_number": "970-874-8026",
            "fax_number": "970-874-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P JOHNSON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-874-7119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "50181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.