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Deactivated NPI 1033292339 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Gordon Johnson , MD

Surgery • Morgantown, WV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 23, 2006
NPI Deactivation Date November 27, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Johnson, MD was a registered Surgery practicing in Morgantown, WV. Throughout an active medical career spanning 19 years, Dr. Johnson provided care at the practice location at 1000 MON HEALTH MEDICAL PARK DR until profile deactivation on 2025-11-27.

Practice Location & Contact Primary Location

Practice Address

1000 Mon Health Medical Park Dr
Suite 1100

Morgantown, WV 265051104

Telephone 3045991448
Fax 3045995335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Morgantown, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
28 Specialists

Practicing in Morgantown, WV (221 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 08973

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1013243682

Doctor of Medicine (M.D.)

NPI 1013903285

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Kupec , MD

Internal Medicine - Gastroenterology

NPI 1053538082

Doctor of Medicine (M.D.)

NPI 1265506448

MEDICALDOCTOR

Dr. Phillip Swearingen , MD

Internal Medicine - Gastroenterology

NPI 1285717405

Doctor of Medicine (M.D.)

Lindsay Fowkes , C-FNP

Nurse Practitioner - Family

NPI 1326121567

CFNP

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

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Updated Business Mailing Address January 08, 2018

Registered at 1200 J D ANDERSON DR, MORGANTOWN, WV 265053494 (Tel: 3042853679)

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Updated Practice Location January 08, 2018

Registered at 1000 MON HEALTH MEDICAL PARK DR, SUITE 1100, MORGANTOWN, WV 265051104 (Tel: 3045991448)

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Provider Name / Credentials Updated January 08, 2018

Recorded as JEROME JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Surgery (License #08973 in WV)

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 14, 2016

Registered at 1000 MON HEALTH MEDICAL PARK DR, SUITE 1100, MORGANTOWN, WV 265051104 (Tel: 3045991448)

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Updated Business Mailing Address December 14, 2016

Registered at PO BOX 1615, MORGANTOWN, WV 265071615 (Tel: 3042853679)

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Provider Name / Credentials Updated December 14, 2016

Recorded as JEROME JOHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Surgery (License #08973 in WV)

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Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033292339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: December 14, 2016
Deactivation Date: November 27, 2025

Mailing Address

Po Box 1615

Morgantown, WV 265071615

Phone: 3042853679

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.