NPIMap

Organization Active NPI

Susan Johnson, MD LLC

Doing business as Johnson Center for Pelvic Health

  • Gynecology Physician
  • Portland, OR
National Provider Identifier
1952330631
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD17446 Issued in OR
Legal business name
SUSAN JOHNSON, MD LLC
Doing business as
Johnson Center for Pelvic Health
Practice address
2209 Lloyd Ctr
Portland, OR 97232-1315
Phone
(503) 345-9339
Fax
(503) 345-9339
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Susan Harrington Johnson, MDNPI 1073546925
Title
Manager
Phone
(503) 345-9339

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD17446 OR Primary

Addresses

Primary practice location

2209 Lloyd Ctr
Portland, OR 97232-1315

Mailing address

PO Box 23200
Portland, OR 97281-3200
Phone (503) 345-9339

Other identifiers 1

IdentifierTypeStateIssuer
8145617MedicaidOR

Other names 1

  • Johnson Center for Pelvic Health Doing business as

National Provider Directory

National Provider Directory

Locations

2209 Lloyd Ctr
Portland, OR 97232
Phone (503) 284-7434

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1952330631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972813200",
            "telephone_number": "503-345-9339",
            "fax_number": "503-345-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 LLOYD CTR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321315",
            "telephone_number": "503-345-9339",
            "fax_number": "503-345-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JOHNSON, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HARRINGTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-345-9339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD17446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8145617",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Center for Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.