Active NPI 1598765497 Individual Practitioner Male Practitioner

Dr. Jon Mark Johnson , MD

Internal Medicine • Stillwater, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jon Johnson, MD is a certified Internal Medicine practicing in Stillwater, OK. With approximately 42 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1984, Dr. Johnson delivers high-quality medical care to the local community at 608 S HESTER ST.

Dr. Johnson maintains professional affiliations with Stillwater Medical Center Authority, Select Physical Therapy Holdings Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

608 S Hester St

Stillwater, OK 740744516

Telephone 4053778000

Fax 4053778040

Associated Practice Facility / Clinic

🏢 Associates Of Internal Medicine Facility NPI 1003951385

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stillwater, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +4.5 yrs vs City Avg

City Avg: 37.5 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

24 Specialists

Practicing in Stillwater, OK (1179 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

49.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (42 Years) 42 Yrs

Stillwater Specialty Average (37.5 Years) 37.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,205	539	$250.00	$122.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	443	443	$250.00	$125.54
99213 Established patient office or other outpatient visit, typically 15 minutes	395	250	$175.00	$86.44
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	312	234	$23.00	$7.78
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	252	216	$31.00	$15.95
G0008 Administration of influenza virus vaccine	202	198	$40.00	$30.07
90653 Vaccine for influenza for injection into muscle	168	168	$143.00	$81.82
36415 Insertion of needle into vein for collection of blood sample	59	53	$13.00	$8.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	56	47	$100.00	$50.53
99495 Transitional care management services for problem of at least moderate complexity	51	36	$390.00	$197.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$320.00	$159.85
G0009 Administration of pneumococcal vaccine	31	31	$40.00	$30.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$345.00	$173.67
99496 Transitional care management services for problem of high complexity	29	29	$525.00	$259.27
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	27	21	$105.00	$50.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	13	$96.00	$39.63
81003 Automated urinalysis test	18	18	$12.00	$2.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$228.41	$130.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$110.00	$53.75
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$80.00	$13.46
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$145.00	$75.81
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$524.29	$289.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,224	571	$250.00	$119.17
99213 Established patient office or other outpatient visit, typically 15 minutes	426	279	$175.00	$84.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	418	418	$250.00	$120.83
G0008 Administration of influenza virus vaccine	241	237	$40.00	$28.68
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	236	232	$133.94	$74.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	227	184	$20.00	$7.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	88	13	$80.00	$58.67
36415 Insertion of needle into vein for collection of blood sample	86	74	$13.00	$8.31
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	43	40	$105.00	$50.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$320.00	$154.99
G0009 Administration of pneumococcal vaccine	34	34	$40.00	$28.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	33	$100.00	$48.58
99495 Transitional care management services for problem of at least moderate complexity	31	25	$390.00	$190.25
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	18	$96.00	$38.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$110.00	$52.54
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$80.00	$13.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$320.00	$156.73
81003 Automated urinalysis test	22	20	$12.00	$2.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$185.00	$130.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$320.00	$155.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$60.00	$21.14
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$390.00	$282.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$345.00	$168.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,125	527	$250.16	$120.59
99213 Established patient office or other outpatient visit, typically 15 minutes	414	264	$175.72	$85.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	403	403	$250.00	$123.57
G0008 Administration of influenza virus vaccine	288	278	$40.00	$27.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	281	273	$95.00	$69.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	274	217	$20.01	$7.87
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	120	102	$105.00	$50.82
36415 Insertion of needle into vein for collection of blood sample	89	79	$13.00	$2.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	57	$112.03	$53.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	54	$60.00	$21.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	37	$100.00	$49.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	22	$96.00	$38.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$320.00	$158.73
G0009 Administration of pneumococcal vaccine	32	32	$40.00	$27.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$320.00	$153.89
99495 Transitional care management services for problem of at least moderate complexity	27	25	$390.00	$194.46
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$80.00	$12.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$320.00	$150.98
81003 Automated urinalysis test	19	15	$12.00	$2.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$345.00	$171.87
90670 Pneumococcal vaccine for injection into muscle	18	18	$340.00	$251.84
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$180.00	$122.70
99496 Transitional care management services for problem of high complexity	12	11	$525.00	$262.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,094	527	$226.88	$123.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	444	444	$244.67	$126.60
99213 Established patient office or other outpatient visit, typically 15 minutes	332	223	$159.14	$85.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	231	181	$20.00	$8.08
G0008 Administration of influenza virus vaccine	193	190	$40.00	$15.74
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	185	182	$80.00	$65.89
G0444 Annual depression screening, 5 to 15 minutes	103	103	$34.00	$17.50
36415 Insertion of needle into vein for collection of blood sample	75	67	$11.08	$2.92
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	63	56	$105.00	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	54	$103.30	$52.80
99495 Transitional care management services for problem of at least moderate complexity	35	30	$359.14	$195.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	29	$100.00	$50.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	30	$60.00	$20.82
81003 Automated urinalysis test	25	21	$12.00	$2.25
G0009 Administration of pneumococcal vaccine	23	23	$40.00	$15.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$317.47	$161.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$314.67	$161.08
90670 Pneumococcal vaccine for injection into muscle	15	15	$300.00	$223.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$301.15	$171.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$301.54	$160.86
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$80.00	$13.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,258	587	$160.00	$103.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	443	443	$218.00	$111.44
99213 Established patient office or other outpatient visit, typically 15 minutes	360	244	$110.14	$71.72
G0008 Administration of influenza virus vaccine	336	329	$40.00	$15.76
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	290	290	$80.00	$61.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	234	204	$20.00	$8.37
36415 Insertion of needle into vein for collection of blood sample	67	58	$11.06	$2.99
G0009 Administration of pneumococcal vaccine	61	61	$40.00	$15.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$280.00	$165.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	44	44	$160.00	$112.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	38	$85.61	$42.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	19	$96.00	$38.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	35	$100.00	$51.08
90653 Vaccine for influenza for injection into muscle	33	33	$80.00	$59.06
81003 Automated urinalysis test	30	24	$12.00	$2.25
99495 Transitional care management services for problem of at least moderate complexity	26	25	$300.00	$176.61
90670 Pneumococcal vaccine for injection into muscle	20	20	$300.00	$213.45
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	17	17	$30.00	$13.22
93000 Routine ekg using at least 12 leads including interpretation and report	16	14	$80.00	$14.15
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$28.00	$19.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$60.00	$21.83
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	11	$105.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,434	622	$160.00	$103.62
99213 Established patient office or other outpatient visit, typically 15 minutes	499	325	$110.40	$70.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	357	357	$280.00	$165.07
G0008 Administration of influenza virus vaccine	355	350	$40.00	$15.46
90653 Vaccine for influenza for injection into muscle	323	323	$65.00	$58.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	311	253	$20.00	$8.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$218.00	$111.27
G0009 Administration of pneumococcal vaccine	93	93	$40.00	$15.13
99495 Transitional care management services for problem of at least moderate complexity	55	48	$300.00	$154.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	45	$85.49	$42.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	50	50	$120.00	$109.65
90670 Pneumococcal vaccine for injection into muscle	45	45	$245.00	$198.08
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	23	$96.00	$39.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	39	$100.00	$50.85
36415 Insertion of needle into vein for collection of blood sample	43	41	$11.09	$2.94
81003 Automated urinalysis test	40	32	$12.00	$2.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$308.00	$160.24
90662 Influenza vaccine split virus, preservative free	19	19	$75.00	$52.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$240.00	$150.98
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$32.00	$16.12
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$28.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,609	673	$159.97	$98.81
99213 Established patient office or other outpatient visit, typically 15 minutes	495	310	$110.18	$66.64
G0008 Administration of influenza virus vaccine	397	392	$40.00	$18.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	392	315	$20.00	$7.99
90662 Influenza vaccine split virus, preservative free	380	376	$61.74	$51.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	146	146	$280.00	$157.91
G0009 Administration of pneumococcal vaccine	80	80	$40.00	$18.90
90670 Pneumococcal vaccine for injection into muscle	53	53	$245.00	$198.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	26	$140.00	$68.50
36415 Insertion of needle into vein for collection of blood sample	48	41	$11.00	$2.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	21	$96.00	$37.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	38	$100.00	$49.19
99495 Transitional care management services for problem of at least moderate complexity	34	32	$300.00	$150.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$85.81	$39.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$120.00	$105.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$218.00	$106.73
99238 Hospital discharge day management, 30 minutes or less	17	17	$141.00	$68.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$266.00	$122.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$240.00	$143.71
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$80.00	$15.43
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$25.00	$17.48
81003 Automated urinalysis test	12	12	$12.00	$2.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$308.00	$153.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,386	572	$160.05	$97.22
99213 Established patient office or other outpatient visit, typically 15 minutes	327	229	$110.31	$65.96
G0008 Administration of influenza virus vaccine	320	315	$40.00	$22.91
90662 Influenza vaccine split virus, preservative free	310	305	$45.00	$43.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	266	195	$20.00	$7.93
36415 Insertion of needle into vein for collection of blood sample	70	61	$11.00	$2.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	32	$140.00	$67.33
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	53	25	$96.00	$37.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	45	$100.00	$48.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$225.00	$150.23
G0009 Administration of pneumococcal vaccine	33	33	$40.00	$23.05
99495 Transitional care management services for problem of at least moderate complexity	30	27	$300.00	$144.55
90670 Pneumococcal vaccine for injection into muscle	29	29	$215.00	$185.66
99238 Hospital discharge day management, 30 minutes or less	26	24	$141.00	$67.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$85.00	$39.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$266.00	$127.64
87804 Detection test by immunoassay with direct visual observation for influenza virus	11	11	$39.00	$14.65
99219 Hospital observation care, typically 50 minutes	11	11	$220.00	$126.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 15120

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100125430B (OK)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

2230 N Perkins Rd, Stillwater, OK 740753076

Phone: 4057809919

Stillwater Medical Center Authority

608 S Hester, Stillwater, OK 740744516

Phone: 4053778000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Jon Johnson , MD

Internal Medicine

NPI 1285992107

Doctor of Medicine (M.D.)

Dr. John Williams , MD

Internal Medicine

NPI 1528068426

Doctor of Medicine (M.D.)

Vicki Latham , PA-C

Physician Assistant

NPI 1790740769

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 608 S HESTER ST, STILLWATER, OK 740744516 (Tel: 4053778000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 608 S HESTER ST, STILLWATER, OK 740744516 (Tel: 4053778000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JON JOHNSON, M.D.

🎓

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

Internal Medicine (License #15120 in OK)

🟢

Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1598765497

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

608 S Hester St

Stillwater, OK 740744516

Phone: 4053778000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.