Dr. Scott Raymond Johnson, MD
Dr. Scott Raymond Johnson is a Surgery Physician provider (Surgery) practicing in Lewiston, ME, registered in the NPPES registry with NPI 1104896133 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104896133 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Scott Raymond Johnson |
| Credential | MD |
| Sex | Male |
| Practice address | 12 HIGH ST STE 401, Lewiston, ME, 04240 |
| Phone | 2077955767 |
| Fax | 2077952732 |
| Enumeration date | 2006-01-24 |
| Last updated in NPPES | 2018-03-17 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | MD21930 | ME |
| 204F00000X | Transplant Surgery Physician | Secondary | 216275 | MA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J25610 | Other | MA | BLUE CROSS |
| 216275 | Other | MA | TUFTS HEALTH PLAN |
| 0184144 | Other | MA | MASSHEALTH |
Copy-ready billing details
Provider: Scott Johnson, MD NPI: 1104896133 Taxonomy: 208600000X (Surgery Physician) Address: 12 HIGH ST STE 401, Lewiston, ME, 04240
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073528725 | George Tuchsen | Individual | Surgery Physician | Lewiston, ME |
| 1003096116 | David Lewis | Individual | Surgery Physician | Lewiston, ME |
| 1568691061 | Christina Tuchsen | Individual | Acute Care Nurse Practitioner | Lewiston, ME |
| 1346574027 | Thomas Boro | Individual | Surgery Physician | Lewiston, ME |
| 1730470477 | Chiajung Lu | Individual | Trauma Surgery Physician | Lewiston, ME |
| 1649603366 | Heather Carpenter | Individual | Nurse Practitioner | Lewiston, ME |
| 1649654187 | Danielle Meader | Individual | Physician Assistant | Lewiston, ME |
| 1134773294 | Alyssa Gunville | Individual | Surgical Physician Assistant | Lewiston, ME |
Verify this record
Cross-check NPI 1104896133 against the authoritative CMS record: view Dr. Scott Raymond Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-17.