Marie Johnson, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A15109 Issued in CA

Practice address

289 W Huntington Drive
Suite 400
Arcadia, CA 91007-3495

Phone

(626) 777-1133

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, MN2 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

Obstetrics/Gynecology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Ridge Hospital and Health ServicesGroup PAC ID 0648222349, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379

Merit-based Incentive Payment System (MIPS)

Final score

77.64 of 100Reported as group

Quality

69.74

Promoting interoperability

83

Improvement activities

40

Cost

69.88

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Medicare reassignment Care Compare group NPD
• St Anthony Regional Hospital and Nursing Home

  • Critical Access Hospital
  • Carroll, IA
  • NPI 1720067127
  Medicare reassignment NPD
• St Anthony Regional Hospital and Nursing Home

  • Family Medicine Physician
  • Carroll, IA
  • NPI 1801815972
  Medicare reassignment NPD
• Life Ivf Center Los Angeles

  • Ambulatory Fertility Facility
  • Arcadia, CA
  • NPI 1285446773
  NPD
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  NPD
• Lake Region Healthcare Corporation

  • Primary Care Clinic/Center
  • Barnesville, MN
  • NPI 1912899626
  NPD
• Lake Region Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Fergus Falls, MN
  • NPI 1942191119
  NPD
• Sioux Valley Memorial Hospital Association

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190
  NPD
• Sioux Valley Memorial Hospital Association

  • Certified Registered Nurse Anesthetist
  • Cherokee, IA
  • NPI 1275500704
  NPD
• West Central Internal Medicine

  • Clinic/Center
  • Morris, MN
  • NPI 1750481958
  NPD (past)

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

• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  Care Compare affiliation
• Lake Region Healthcare Corporation

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Care Compare affiliation

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1962898254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068232",
            "telephone_number": "949-788-1133",
            "fax_number": "949-788-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DRIVE",
            "address_2": "SUITE 400",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073495",
            "telephone_number": "626-777-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Barranca Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926068232",
            "country_code": "US",
            "telephone_number": "949-788-1133",
            "fax_number": "949-788-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A15109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Colias, M.D., Inc.
• John P. Beauclair, M.D. Inc.
• Jennifer Duxbury Johnson, DRPH, PT, CSCS
• Kyra Johnson
• Linda Johnson
• Randy Johnson
• Steven Johnson Jr.
• Jonathan K. Eng, MD, Inc.
• Mary Kathleen Jones, M.D.
• Janice Young Joo, MD

• Obstetrics & Gynecology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Obstetrics & Gynecology Physician in California

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