Active NPI
James M Johnston, MD
- Orthopaedic Surgery Physician
- Boise, ID
National Provider Identifier
1114940699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M-6039
- Practice address
- 703 S Americana Blvd
Ste 120
Boise, ID 83702-5099 - Phone
- (208) 323-2600
- Fax
- (208) 323-9172
- NPI assigned
- Jul 25, 2006
- Last updated
- Mar 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M-6039 | ID | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | M-6039 | ID | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | M-6039 | ID | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | M-6039 | ID | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | M-6039 | ID | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | M-6039 | ID | |
| Orthopaedic Trauma Physician | 207XX0801X | M-6039 | ID |
Addresses
Primary practice location
703 S Americana Blvd
Ste 120
Boise, ID 83702-5099
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 323-2600
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6039 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Centers of Idaho P a | Orthopaedic Surgery | Past | Accepting new patients |
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.
-
dba Boise Orthopedic Clinic
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1487746541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1114940699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-323-2600",
"fax_number": "208-323-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 S AMERICANA BLVD",
"address_2": "STE 120",
"city": "BOISE",
"state": "ID",
"postal_code": "837025099",
"telephone_number": "208-323-2600",
"fax_number": "208-323-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M-6039",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "ID",
"license": "M-6039",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "ID",
"license": "M-6039",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "ID",
"license": "M-6039",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "ID",
"license": "M-6039",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "ID",
"license": "M-6039",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "ID",
"license": "M-6039",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.