ROY L. JOHNSON, III M.D. – NPI #1417168311
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.

Health Care Provider Taxonomy Code for Emergency Medicine

ROY JOHNSON, III is a physician located in WRIGHT-PATTERSON AFB, OH. NPPES has assigned the NPI number 1417168311 to ROY JOHNSON, III on May 24, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 12 additional location(s) assigned to this provider which are listed below. 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 6 years ago on May 05, 2020. 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 ROY JOHNSON, III below.

NPI Profile for
ROY L. JOHNSON, III

NPI Number
1417168311
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROY L. JOHNSON, III
Credentials
M.D.
Primary location
4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Phone: (937) 257-0770 Fax:
12 Other location(s):
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone: (937) 702-4500
1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone: (937) 401-6228
405 W Grand Ave
Dayton, OH 45405-7538
Phone: (937) 723-3211
450 Washington Jackson Rd Ste F
Eaton, OH 45320-8699
Phone: (937) 456-8377
100 Kettering Way
Franklin, OH 45005-1155
Phone: (937) 458-4700
8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone: (937) 558-3338
3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 395-8166
Fax: (937) 395-8347
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone: (937) 384-8791
6147 State Route 122
Middletown, OH 45005-5201
Phone: (513) 261-3410
600 W Main St
Troy, OH 45373-2928
Phone: (937) 980-7010
Fax: (937) 980-7019
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433
Phone: (937) 257-0770
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone: (937) 352-2500
Mailing address
3131 NEWMARK DR STE 220
MIAMISBURG, OH 45342-5400
Phone: (937) 438-8910 Fax: (937) 436-4984
Sole Proprietor
No
Updated
Certification Date
May 05, 2020

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 ROY JOHNSON, III

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
MEDICAIDOH2987111
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)		 OH 35.094004

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.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROY JOHNSON, III is affiliated with the following medical group(s):
  • HOSPITAL
    • KETTERING HEALTH DAYTON
      405 GRAND AVENUE
      DAYTON, OH 45405
    • KETTERING HEALTH MIAMISBURG
      4000 MIAMISBURG-CENTERVILLE ROAD
      MIAMISBURG, OH 45342
    • SOIN MEDICAL CENTER
      3535 PENTAGON PARK BLVD
      BEAVER CREEK, OH 45431

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.