MR. JERRY ALBERT JOHNSTONE


Address: 1201 Enterprise Ave, Apt 610, Lake City, TX 77573
Phone: 8063965583

MR. JERRY ALBERT JOHNSTONE (NPI# 1326370420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326370420
Entity Type Individual
Full Name MR. JERRY ALBERT JOHNSTONE
Credential PHYSICIAN ASSISTANT
Practice Address 1201 Enterprise Ave
Apt 610
Lake City
TX 77573
Mailing Address P.o. Box 1107
Stratford
TX 79084
Practice Telephone 8063965583
Practice Fax Number 8063662713
Mailing Telephone 8063965583
Mailing Fax Number 8063662713
Enumeration Date 2010-02-01
Last Update Date 2010-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA01624 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers JERRY JOHNSTONE

NPI Name Taxonomy Address Enumeration
1497943153 Jerry Stanley Johnstone II Chiropractor 515 Sr 9 Ne, Suite 105, Lake Stevens, WA 98258-8523 2007-10-09
1194115030 Jerry Roy Johnstone Massage Therapist 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 2015-01-30

Office Location

Street Address 1201 ENTERPRISE AVE
APT 610
City LAKE CITY
State TX
Zip Code 77573

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114527306 Colin Joe Lee Pharmacist 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 2020-10-28
1033764931 Brittany Salinas Physical Medicine & Rehabilitation 2205 Colonial Court N, League City, TX 77573 2019-08-07
1366007833 Tmh Physician Associates Pllc Orthopaedic Surgery 2220 E. League City Parkway, Suite 200, League City, TX 77573 2019-05-09
1851863724 Gina Carter Durable Medical Equipment & Medical Supplies 210 S. Hwy 3, Unit B, League City, TX 77573 2018-12-17
1497226393 Daniel Max & Marcandrea LLC Optometrist 3170 Gulf Freeway South, League City, TX 77573 2018-12-17
1972071983 Chelsie N Chonoski Nurse Practitioner 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 2018-11-07
1730660564 Rebecca Ann Peth Physical Therapist 350 N Wesley Dr., Apt 1123, League City, TX 77573 2018-08-29
1912485087 Sarwat Hussain Zaffer Dentist 1620 W Fm 646, Ste D, League City, TX 77573 2018-08-01
1518468651 Clear Creek Chiropractic Center Clinic/Center 624 West Main Ste 102, League City, TX 77573 2018-02-23
1255850848 Travis William Prothro Chiropractor 1620 W. Fm 646, Suite C, League City, TX 77573 2017-09-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780143511 Tara Eaddy Barrineau Physician Assistant 1998 Saint James Rd, Lake City, SC 29560-8626 2019-03-19
1235613423 Susana Romero Martinez Physician Assistant 5085 W Us Highway 90, Lake City, FL 32055-8191 2018-09-24
1225241649 John Geary Windham Physician Assistant 373 Se Country Club Rd, Lake City, FL 32025-4987 2007-05-08
1801011663 Alfred Otero Physician Assistant 1465 W Us Highway 90 Ste 100, Lake City, FL 32055-6154 2007-04-16
1679684823 William David Sanders Physician Assistant 213 Sw Main Blvd, Lake City, FL 32025 2006-08-31
1982691218 Anthony R Lambert Physician Assistant 1289 Sw State Road 47, Lake City, FL 32025-0484 2005-10-03
1891795175 John P Odonnell Physician Assistant 173 Nw Albritton Ln, Lake City, FL 32055-4451 2005-07-28
1831745710 Caitlin Altman Jordan Physician Assistant 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 2019-08-15
1316505910 Elizabeth Jean Halbur Physician Assistant 1351 W Main St, Lake City, IA 51449-1585 2019-05-30
1861965774 Cole James Kriett Physician Assistant 500 W Grant St, Lake City, MN 55041-1143 2019-01-03
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Competitor

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City LAKE CITY
Zip Code 77573

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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