Active NPI
Frank Pierr Johnson, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Santa Fe, NM
National Provider Identifier
1982799433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 87-81
- Practice address
- 455 St Michaels Drive
Santa Fe, NM 87505-7621 - Phone
- (505) 986-8620
- Fax
- (505) 820-2461
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 87-81 | NM | Primary |
Addresses
Primary practice location
455 St Michaels Drive
Santa Fe, NM 87505-7621
Mailing address
465 St Michaels Drive
Suite 115
Santa Fe, NM 87505-7621
Phone (505) 986-8620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00039917 | Medicaid | NM | |
| 00NM001489 | Other | NM | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1982799433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 ST MICHAELS DRIVE",
"address_2": "SUITE 115",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057621",
"telephone_number": "505-986-8620",
"fax_number": "505-820-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 ST MICHAELS DRIVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057621",
"telephone_number": "505-986-8620",
"fax_number": "505-820-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FRANK",
"middle_name": "PIERR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NM",
"license": "87-81",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00039917",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "00NM001489",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.