Steven W Johnson, MD
Individual provider Active NPI Family Medicine Physician · Colendale, AZ
NPI 1902898620 · NPPES record last updated Mar 28, 2014
Key facts
- NPI
- 1902898620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00015924 (WA)
- Practice address
- 5891 W. Eugie Avenue
Colendale, AZ 85304 - Phone
- (602) 588-6600
- Fax
- (602) 588-6906
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20100819001268 | AZ | Practitioner - Family Practice | 7810943032 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Healthcare of Arizona, Inc. | Current |
Accepting new patients | |
| Cigna Health Care of Arizona Inc | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current |
Accepting new patients |
Locations
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800
3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200
25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400
3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00015924 | WA | Yes |
Addresses
Primary practice location
5891 W. Eugie Avenue
Colendale, AZ 85304
Mailing address
25500 N. Norterra Parkway
BLDG. B
Phoenix, AZ 85085
Phone (602) 588-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8151508 | Medicaid | WA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.