STEPHEN JOHNSTON (NPI# 1831163153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831163153 |
Entity Type | Individual |
Full Name | STEPHEN JOHNSTON |
Credential | MD |
Practice Address |
5450 Clearfork Main St Ste 230 Fort Worth TX 76109-3562 |
Practice Telephone | 8179841688 |
Practice Fax Number | 8174194494 |
Mailing Telephone | 8179841688 |
Mailing Fax Number | 8174194494 |
Enumeration Date | 2006-02-14 |
Last Update Date | 2019-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F9632 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICAID - DALLAS | 134360010 | 01 |
TX | 134360013 | 05 | |
TX | MEDICAID - TARRANT | 134360011 | 01 |
TX | MEDICAID - OTHER | 134360012 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
6750 N Macarthur Blvd, Suite 350, Irving, TX 750392875 | 9725561616 | 9725561740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184107922 | Stephen Leigh Johnston | Nurse Practitioner | 1004 Sushruta Dr Ste A, Martinsburg, WV 25401-8801 | 2018-09-07 |
1255759189 | Stephen John Johnston | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2014-03-28 |
1730525841 | Stephen S Johnston | Radiology | 2492 E River Rd, Tucson, AZ 85718-9552 | 2013-05-15 |
1629337753 | Stephen Johnston | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-05-09 |
1497884852 | Stephen Andrew Johnston | Dentist | 238 Front St, Cashton, WI 54619-2002 | 2007-03-03 |
1063429249 | Stephen Edward Johnston | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2006-08-01 |
1336187673 | Stephen D Johnston | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2006-06-02 |
1396724746 | Stephen Edward Johnston | Emergency Medicine | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-01-13 |
Street Address |
5450 CLEARFORK MAIN ST STE 230 |
City | FORT WORTH |
State | TX |
Zip Code | 76109-3562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114927779 | Emily M. Isaacs | Internal Medicine | 5450 Clearfork Main St Ste 230, Fort Worth, TX 76109-3562 | 2005-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
Find all providers in zip 76109 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083195648 | Ff Corporation Pllc | Internal Medicine | 7100 Oakmont Blvd Ste No201, Fort Worth, TX 76132-3900 | 2018-08-22 |
1376918292 | Makd Heart & Vascular LLC | Internal Medicine | 1401 8th Avenue, Fort Worth, TX 76104-3915 | 2015-12-03 |
1528436565 | Davinci Medical, LLC | Internal Medicine | 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 | 2015-09-08 |
1831485192 | Fahmi Jasmin Farah | Internal Medicine | 7100 Oakmont Blvd Ste 201, Fort Worth, TX 76132-3908 | 2011-06-24 |
1659664100 | Pro Health Diagnostics of North Texas Pa | Internal Medicine | 1904 Canterbury Drive, Fort Worth, TX 76107-3514 | 2011-05-17 |
1396936357 | Farhan Ali | Internal Medicine | 1017 12th Avenue, Fort Worth, TX 76104-0000 | 2007-08-06 |
1619021714 | Benedict Anthony Termini | Internal Medicine | 8520 Meadowbrook Dr, Fort Worth, TX 76120-5204 | 2007-01-23 |
1932294469 | Saritha Dodla | Internal Medicine | 4324 Heritage Trace Pkwy, Ste 808, Fort Worth, TX 76244-9127 | 2006-10-03 |
1316039795 | Muhammad A Qureshi | Internal Medicine | 3403 N Beach St, Fort Worth, TX 76111-6305 | 2006-09-29 |
1134233588 | Mohanakrishnan Sathyamoorthy | Internal Medicine | 1121 5th Ave Ste 100, Fort Worth, TX 76104-4386 | 2006-08-19 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76109 |
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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.