Individual provider Active NPI

Thomas C Johnston, MD

  • Pediatrics Physician
  • Hanover, MA
National Provider Identifier
1073504445
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
50326 Issued in MA
Practice address
51 Mill St
Building E - 17
Hanover, MA 02339-1641
Phone
(781) 826-2131
Fax
(781) 826-4513
NPI assigned
Nov 3, 2005
Last updated
May 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 50326 MA Primary

Addresses

Primary practice location

51 Mill St
Building E - 17
Hanover, MA 02339-1641

Mailing address

51 Mill St
Building E - 17
Hanover, MA 02339-1641
Phone (781) 826-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000687 MA Practitioner - Pediatric Medicine 1052453685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare South PC Pediatrics CurrentSince Oct 4, 2009 Accepting new patients

Locations

51 Mill St
Ste E17
Hanover, MA 02339
Phone (781) 826-2131

56 New Driftway
Ste 301
Scituate, MA 02066
Phone (781) 383-6261

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1073504445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MILL ST",
            "address_2": "BUILDING E - 17",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391641",
            "telephone_number": "781-826-2131",
            "fax_number": "781-826-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MILL ST",
            "address_2": "BUILDING E - 17",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391641",
            "telephone_number": "781-826-2131",
            "fax_number": "781-826-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "50326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.