ADAM JOHNSON M.D. – NPI #1043364797
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ADAM JOHNSON is a physician located in JACKSON, WY. NPPES has assigned the NPI number 1043364797 to ADAM JOHNSON on January 22, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 5 years ago on Feb 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADAM JOHNSON below.

NPI Profile for
ADAM JOHNSON

NPI Number
1043364797
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ADAM JOHNSON
Credentials
M.D.
Primary location
625 E BROADWAY AVE
JACKSON, WY 83001-8642
Phone: (307) 739-7250 Fax: (307) 739-7249
1 Other location(s):
3345 W Cody Lane Unit 9
Teton Village, WY 83025-0544
Phone: (307) 739-7346
Fax: (307) 739-7349
Mailing address
PO BOX 428
JACKSON, WY 83001-0428
Phone: (307) 739-7250 Fax: (307) 739-7249
Sole Proprietor
No
Updated
Certification Date
Feb 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADAM JOHNSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWY139580000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
UT 6447817-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT MESSAGING ADDRESS FOR ST JOHN'S HEALTH
Content Type
OTHER
Affiliation
N
Endpoint Location
625 E BROADWAY AVE,
JACKSON, WY 77025-1669

Additional Information

Affiliations
ADAM JOHNSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ST JOHNS MEDICAL CENTER
      625 EAST BROADWAY
      JACKSON, WY 83001

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.