Individual provider Active NPI

Tone Johnson Jr., M.D.,

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1063417368
Registry record updated Apr 30, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Dec 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6946 Issued in TX
Practice address
3138 S Alameda St
Ste a
Corpus Christi, TX 78404-2555
Phone
(361) 884-4131
Fax
(361) 884-4171
NPI assigned
Jun 15, 2005
Last updated
Apr 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6946 TX Primary

Addresses

Primary practice location

3138 S Alameda St
Ste a
Corpus Christi, TX 78404-2555

Mailing address

3138 S Alameda St
Ste a
Corpus Christi, TX 78404-2555
Phone (361) 884-4131

Other identifiers 1

IdentifierTypeStateIssuer
121505501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1063417368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 S ALAMEDA ST",
            "address_2": "STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042555",
            "telephone_number": "361-884-4131",
            "fax_number": "361-884-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 S ALAMEDA ST",
            "address_2": "STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042555",
            "telephone_number": "361-884-4131",
            "fax_number": "361-884-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TONE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121505501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.