Active NPI
Richard E Johns Jr., M.D.
- Ophthalmology Physician
- Parkersburg, WV
National Provider Identifier
1942204615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12687
- Practice address
- 106 Canterbury Dr
Parkersburg, WV 26104-8048 - Phone
- (304) 422-2702
- Fax
- (304) 485-3373
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 12687 | WV | Primary |
Addresses
Primary practice location
106 Canterbury Dr
Parkersburg, WV 26104-8048
Mailing address
106 Canterbury Dr
Parkersburg, WV 26104-8048
Phone (304) 422-2702
Other practice location 1
7 Rosemar Cir
Parkersburg, WV 26104-1203
Phone (304) 485-6240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091209000444 | WV | Practitioner - Ophthalmology | 9335144575 | Practice locations: Parkersburg, WV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12687 | WV | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Up Mental Health Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parkersburg, WV
- NPI 1831854223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1942204615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CANTERBURY DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048048",
"telephone_number": "304-422-2702",
"fax_number": "304-485-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CANTERBURY DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261048048",
"telephone_number": "304-422-2702",
"fax_number": "304-485-3373"
}
],
"practiceLocations": [
{
"address_1": "7 Rosemar Cir",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261041203",
"country_code": "US",
"telephone_number": "304-485-6240",
"fax_number": "304-485-3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNS",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WV",
"license": "12687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.