Patrick M Johnston, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002026-1 Issued in NY

Practice address

5 Clay St
Malone, NY 12953-1905

Phone

(518) 483-0705

NPI assigned

Apr 18, 2007

Last updated

Sep 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Essex County Treasurer

  • Mental Health Counselor
  • Elizabethtown, NY
  • NPI 1659485480
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190419200000",
    "number": "1073739777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129530177",
            "telephone_number": "518-425-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CLAY ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531905",
            "telephone_number": "518-483-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002026-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Johnson, PHARMD
• Judith Ann Johnson, R.D.H.
• Kelsey Johnson
• Corri Johnston
• Kimberly Alison Johnston, RN
• Jonathan Lowell, M.D. P.C.
• Shai T Jones
• Stacy Danielle Jones, ATR-BC LCAT
• Sarah Nargess Kazerani, NP-BC
• Christopher Kemp, PHYSICAL THERAPIST

• Physician Assistant in Malone, NY
• Providers in Malone, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.