NPIMap

Individual provider Active NPI

Ciara Dawn Johnson, M.D.

  • Obstetrics Physician
  • Louisville, KY
National Provider Identifier
1972035400
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
0066508 Issued in CO
Practice address
550 S Jackson St
Ambulatory Care Building
Louisville, KY 40202-1622
Phone
(502) 561-7448
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics Physician 207VX0000X 0066508 CO Primary

Addresses

Primary practice location

550 S Jackson St
Ambulatory Care Building
Louisville, KY 40202-1622

Mailing address

1400 S Potomac St Ste 220
Aurora, CO 80012-4522
Phone (720) 282-2330

Other practice location 1

1400 S Potomac St Ste 220
Aurora, CO 80012-4522
Phone (720) 282-2330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CIARA.JOHNSON@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811002552 CO Practitioner - Obstetrics/Gynecology 3375892904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

1400 S Potomac St
Suite 220
Aurora, CO 80012-4522
Phone (303) 690-2198

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0066508COMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC CurrentSince Aug 1, 2021 Accepting new patients
Healthone Clinic Services LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1400 S Potomac St
Ste 220
Aurora, CO 80012
Phone (303) 481-0030

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1972035400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST STE 220",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124522",
            "telephone_number": "720-282-2330",
            "fax_number": "855-529-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "address_2": "AMBULATORY CARE BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-561-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Potomac St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124522",
            "country_code": "US",
            "telephone_number": "720-282-2330",
            "fax_number": "855-529-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CIARA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-01-04",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CO",
            "license": "0066508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CIARA.JOHNSON@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1400 S Potomac St Ste 220",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800124522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.