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Dr. Donald Alan Johnson , MD

Physician β€’ Ponca City, OK

Deactivated NPI 1053535831 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2616 Avon Ave
Ponca City, OK 746044301

Phone: 5807627915

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 02, 2021; the reason is not published. The records below are historical. They do not show whether Dr. Donald Johnson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 12, 2007
NPI Deactivation Date February 02, 2021
NPI Active Period 2007 – 2021

Practice Location & Contact Primary Location

Practice Address

2616 Avon Ave

Ponca City, OK 746044301

Telephone 5807627915

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Ponca City and Oklahoma

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES OK 12449

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 02, 2021

NPPES lists this NPI as deactivated as of February 02, 2021; the reason is not published.

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 08, 2007

Registered at 2616 AVON AVE, PONCA CITY, OK 746044301 (Tel: 5807627915)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 2616 AVON AVE, PONCA CITY, OK 746044301 (Tel: 5807627915)

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Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DONALD JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Acute Care Hospital (license number reported to NPPES: OK 12449)

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Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053535831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Deactivation Date: February 02, 2021

Mailing Address

2616 Avon Ave

Ponca City, OK 746044301

Phone: 5807627915

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.