Frederick Johnson, MD
Individual provider Active NPI Emergency Medicine Physician · Rock Springs, WY
NPI 1891780029 · NPPES record last updated May 7, 2008
Key facts
- NPI
- 1891780029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01028913 (IN)
- Practice address
- 1200 College Dr
Rock Springs, WY 82901-5868 - Phone
- (307) 352-8350
- Fax
- (307) 352-8178
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Northwestern University Feinberg Medical School, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunset Emergency Physicians LLC
Practice addresses (Care Compare)
1200 Mohave Rd
Emergency Dept
Parker, AZ 85344-6349
Phone (954) 939-5000
Hospital & facility affiliations
- La Paz Regional Hospital
- Exceptional Community Hospital Bullhead City
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081117000281 | AZ | Practitioner - Emergency Medicine | 7911988647 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028913 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tec Emergency Physicians of Arizona, LLC | Current |
Accepting new patients | |
| Exceptional Health Care Bullhead City LLC | Current |
Accepting new patients | |
| Exceptional Physicians Group Eloy Hospital PLLC | Emergency Medicine | Current |
Accepting new patients |
| Exceptional Physicians Group Arizona PLLC | Current |
Accepting new patients | |
| Exceptional Physicians Group Prescott Hospital PLLC | Current |
Accepting new patients | |
| Exceptional Physicians Group Yuma Hospital PLLC | Emergency Medicine | Current |
Accepting new patients |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Sunset Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Exceptional Physicians Group Bullhead City Hospital PLLC | Current |
Accepting new patients | |
| NM Heart Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Az Corridor Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Alteon Health New Mexico LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Oregon Trail Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| White Mountain Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Exceptional Health Care Prescott LLC | Past |
Accepting new patients | |
| Northwest Physician Associates, Apc | Emergency Medicine | Past | Accepting new patients |
Locations
2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443
340 E Milligan Rd
Eloy, AZ 85131
Phone (436) 341-7800
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
4328 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 454-3630
4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100
3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687
Interoperability endpoints
- frederickjohnson@lprh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01028913 | IN | Yes |
Addresses
Primary practice location
1200 College Dr
Rock Springs, WY 82901-5868
Mailing address
505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100345950 | Medicaid | IN | |
| 314470 | Other | WY | BSWY |
| 605960009 | Other | WY | FBL |
| 123610500 | Medicaid | WY |
Other providers in Rock Springs, WY
- Benjamin A Jensen
- Peter Merrill Jensen
- Melissa M Jewell
- John W. Aaron III, DPM
- Colton Johnson
- Jacob V Johnson
- Jaime K Johnson
- Jill Ann Johnson
- Joel Johnson
- Kasia Marie Johnson
All providers in Rock Springs, WY · Emergency Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.