Marie R Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00844 Issued in TX

Practice address

1810 U.S. Highway 82 W
Sherman, TX 75092-7069

Phone

(903) 870-2840

Fax

(903) 870-2601

NPI assigned

Apr 8, 2010

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1104142645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 U.S. HIGHWAY 82 WEST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927069",
            "telephone_number": "903-870-2840",
            "fax_number": "903-870-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 U.S. HIGHWAY 82 W",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927069",
            "telephone_number": "903-870-2840",
            "fax_number": "903-870-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Sciortino, D.P.M., P.a.
• Amanda Johnson
• Gabryele Johnson, RN
• Holly Jo Johnson, RN
• Katy Elizabeth Johnson, DPT
• Mikayla Sue Johnson, DC
• Rebecca Lynne Johnson, RN
• Vernon Charles Johnson, M.D.
• Catherine Anne Johnston, LCSW
• Anna Jones, MS, CCC-SLP, BCS-SCF

• Medical Physician Assistant in Sherman, TX
• Providers in Sherman, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.