DR. GARY ERLE JOHNSTON (NPI# 1962537902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962537902 |
| Entity Type | Individual |
| Full Name | DR. GARY ERLE JOHNSTON |
| Credential | D.O. |
| Practice Address |
53468 Mineral Springs Rd Hodgen OK 74939-3064 |
| Mailing Address |
1501 Cottonwood Dr Poteau OK 74953-2048 |
| Practice Telephone | 9186537831 |
| Mailing Telephone | 9186477171 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OK1230 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477603967 | Gary Johnston | Dentist | 18252 Fm 1488 Rd Ste 120, Magnolia, TX 77354-8506 | 2007-01-10 |
| 1629467352 | Gary Johnston Jr. | Nurse Practitioner | 1541 Medical Dr, Tallahassee, FL 32308-4615 | 2015-01-19 |
| 1376582577 | Gary Michael Johnston | Internal Medicine | 1010 Carondelet Dr, Ste 220, Kansas City, MO 64114-4859 | 2006-06-05 |
| Street Address |
53468 MINERAL SPRINGS RD |
| City | HODGEN |
| State | OK |
| Zip Code | 74939-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952678302 | Bethany Mead | Counselor | 21171 Conser Rd, Hodgen, OK 74939 | 2011-11-29 |
| 1063603280 | Hodgen Public School | Local Education Agency (LEA) | Hwy 59 South School House Road, Hodgen, OK 74939-0069 | 2007-08-05 |
| 1770906927 | Angel Morrison | Case Manager/Care Coordinator | 50215 Us Highway 59, Hodgen, OK 74939-3179 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906927 | Angel Morrison | Case Manager/Care Coordinator | 50215 Us Highway 59, Hodgen, OK 74939-3179 | 2014-01-23 |
| 1952678302 | Bethany Mead | Counselor | 21171 Conser Rd, Hodgen, OK 74939 | 2011-11-29 |
| 1063603280 | Hodgen Public School | Local Education Agency (LEA) | Hwy 59 South School House Road, Hodgen, OK 74939-0069 | 2007-08-05 |
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
| 1942810197 | Kristin Holetzky | Family Medicine | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2020-08-03 |
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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.