Matthew Scott Johnson, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35.133111 Issued in OH

Practice address

1301 S Cliff Ave Ste 700
Sioux Falls, SD 57105-1019

Phone

(605) 322-7200

NPI assigned

Jun 25, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, IA, SD3 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 3

Specialty

Pathology

Education

Loma Linda University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Laboratory LTDGroup PAC ID 9234036310, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
• Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
• Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124
• Avera St Mary'S Hospital Hospital, Pierre, SD, CCN 430015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Physicians Laboratory, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux Falls, SD
  • NPI 1891747093
  Medicare reassignment Care Compare group NPD
• Central Ohio Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbus, OH
  • NPI 1679528574
  Medicare reassignment NPD
• Diagnostic Pathology Associates, Inc

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1578532487

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Physicians Laboratory of Northwest Iowa LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spencer, IA
  • NPI 1043452238
  Medicare reassignment NPD
• Physicians Laboratory, LTD.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sioux Falls, SD
  • NPI 1700050499
  NPD
• Physicians Laboratory of Northwest Iowa LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spencer, IA
  • NPI 1982638987
  NPD

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

• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  Hospital

  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1184834764
  Care Compare affiliation
• Avera McKennan

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
  • NPI 1396711016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1962842864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "605-322-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CLIFF AVE STE 700",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051019",
            "telephone_number": "605-322-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131502",
            "country_code": "US",
            "telephone_number": "614-234-6813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.133111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenzie Kay Johnson
• Marcus Allan Johnson, PMHNP-BC
• Mariah Johnson
• Mark W Johnson, MD
• Mary Beth Johnson, CNP
• Melanie Marie Johnson, CNP
• Michael M Johnson, MD
• Mitchell C Johnson, DO
• Nancy Ann Johnson, PHD
• Nichole Johnson

• Anatomic Pathology & Clinical Pathology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.