BENJAMIN PATRICK JOHNSON MD
NPI 1306691712
Student in an Organized Health Care Education/Training Program in Payson, AZ

Active since April 19, 2024PECOS Enrolled
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 474-3222 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Patrick Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN PATRICK JOHNSON MD (NPI 1306691712) is an individual student in an organized health care education/training program in Payson, Arizona and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306691712
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN PATRICK JOHNSONCredential: MD
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (817) 965-5528
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
NPI 1306691712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
807 S PONDEROSA ST, Payson, AZ 85541

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Patrick Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Obstetrics & Gynecology
807 S PONDEROSA ST
PAYSON, AZ 85541
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital (Critical Access)
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Johnson's NPI number?

The NPI number for Benjamin Johnson is 1306691712. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Benjamin Johnson located?

Benjamin Johnson practices at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 474-3222.

What is Benjamin Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Johnson enrolled in Medicare?

Yes. Benjamin Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Johnson was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.