Patrick B Johansing, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO198260 Issued in OR

Practice address

600 NW 11TH St Ste E15
Hermiston, OR 97838-8602

Phone

(541) 567-6434

Fax

(541) 429-6613

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Praxis Health PCGroup PAC ID 8325941446, shared by 5 NPIs, 174 clinicians

Hermiston Medical Center P CGroup PAC ID 9133028798, 10 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Shepherd Home Health Home health agency, Hermiston, OR, CCN 387090
• Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
• Vange John Memorial Hospice Hospice, Hermiston, OR, CCN 381543
• Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
• St Anthony Hospital Hospital, Pendleton, OR, CCN 381319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.johansing.1@31984.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hermiston Medical Center P C

  • Rural Health Clinic/Center
  • Hermiston, OR
  • NPI 1255149175

  Corporate Director

  CMS ownership
• Hermiston Medical Center P C

  • Rural Health Clinic/Center
  • Umatilla, OR
  • NPI 1437967361

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hermiston Medical Center P C

  • Family Medicine Physician
  • Hermiston, OR
  • NPI 1467403329
  Medicare reassignment Care Compare group NPD
• Prosser Public Hospital District of Benton County

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Hermiston Medical Center P C

  • Rural Health Clinic/Center
  • Hermiston, OR
  • NPI 1255149175
  NPD
• Prosser Public Hospital District of Benton County

  • Rural Health Clinic/Center
  • Benton City, WA
  • NPI 1437199072
  NPD
• Prosser Public Hospital District of Benton County

  • Specialist
  • Walla Walla, WA
  • NPI 1518770155
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Oregon

  • Critical Access Hospital
  • Pendleton, OR
  • NPI 1649276734
  Care Compare affiliation
• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Care Compare affiliation
• Good Shepherd Health Care System

  • Community Based Hospice Care Agency
  • Hermiston, OR
  • NPI 1346295029
  Care Compare affiliation
• Good Shepherd Health Care System

  • Home Health Agency
  • Hermiston, OR
  • NPI 1902849375
  Care Compare affiliation
• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Tri-Cities Home Health, LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1679547244
  Care Compare affiliation

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1922495035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-429-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E15",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388602",
            "telephone_number": "541-567-6434",
            "fax_number": "541-429-6613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Swift Blvd",
            "address_2": "Kadlec Family Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523524",
            "country_code": "US",
            "telephone_number": "509-942-2516",
            "fax_number": "509-942-3218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Dale Ave",
            "address_purpose": "LOCATION",
            "city": "Benton City",
            "state": "WA",
            "postal_code": "99320",
            "country_code": "US",
            "telephone_number": "509-588-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSING",
        "first_name": "PATRICK",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60709245",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "OL60568301",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO198260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Iverson
• Naman Jain, DO
• Fia Jensen, RN
• Kaitlin Jeziorowski, PTA
• JM Jeremy Anderson DO
• Aaron Michael Johnson
• Marques S Johnson, MD
• Milton James Johnson, M.D.
• Pamela Kay Johnson, DC
• Jason Lee Johnston

• Family Medicine Physician in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.