Justin K Johnson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS018368 Issued in PA

Practice address

4300 Londonderry Rd
Harrisburg, PA 17109

Phone

(717) 231-8772

Fax

(717) 231-8435

NPI assigned

Apr 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

HospitalistAlso: Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Upmc Kane Hospital, Kane, PA, CCN 391318
• Upmc Horizon Hospital, Greenville, PA, CCN 390178
• Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
• Upmc Northwest Hospital, Seneca, PA, CCN 390091
• Upmc Northwest Transitional Care Unit Nursing home, Seneca, PA, CCN 395966

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnsonjk3@kch.securechart.com
• Direct secure messaging: justin.k.johnson@upmcdirect.com

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group NPD
• Pinnacle Health Hospitalist Services LLC

  • Hospitalist Physician
  • Harrisburg, PA
  • NPI 1023458148

  Internal Medicine

  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Internal Medicine

  Medicare reassignment NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  Internal Medicine

  Medicare reassignment NPD
• Cooper Physician Offices, PA

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1154369510
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308
  Medicare reassignment
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Fredericksburg, PA
  • NPI 1124675723
  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1942674569
  NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD

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

• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Upmc Horizon

  • General Acute Care Hospital
  • Greenville, PA
  • NPI 1225048838
  Care Compare affiliation
• Upmc Horizon

  • Ambulatory Surgical Clinic/Center
  • Greenville, PA
  • NPI 1952465890

  Hospital

  Care Compare affiliation
• Upmc Kane

  • Critical Access Hospital
  • Kane, PA
  • NPI 1588416382
  Care Compare affiliation
• Upmc Kane

  • General Acute Care Hospital
  • Kane, PA
  • NPI 1861478307
  Care Compare affiliation
• Upmc Northwest

  • Psychiatric Hospital Unit
  • Seneca, PA
  • NPI 1013090745
  Care Compare affiliation
• Upmc Northwest

  • Skilled Nursing Facility
  • Seneca, PA
  • NPI 1396833778

  Nursing home

  Care Compare affiliation
• Upmc Northwest

  • General Acute Care Hospital
  • Seneca, PA
  • NPI 1619069440
  Care Compare affiliation
• Upmc Northwest

  • Ambulatory Surgical Clinic/Center
  • Seneca, PA
  • NPI 1922174747

  Hospital

  Care Compare affiliation
• Upmc Passavant

  • General Acute Care Hospital
  • Pittsburgh, PA
  • NPI 1225047699
  Care Compare affiliation
• Upmc Passavant

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1639218936

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1962822593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUSTIN",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS018368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjohnson8669@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "4300 Londonderry Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Gale Johnson, LSW
• Douglas Johnson, CRNA
• Emily Johnson, RN
• Eric Johnson, CADC,B.S. B.A.
• Jessica M Johnson
• Kenneth Johnson, LBS
• Kevin Robert Johnson, DPT
• Mark J Johnson, PSYD
• Pamela Denise Johnson, LPN
• Ria Reyes Johnson, PT, DPT

• Internal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.
• 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.