Active NPI
George William Johnson Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Denton, TX
National Provider Identifier
1124027164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- E8004
- Practice address
- 3333 Colorado Blvd
Denton, TX 76210-6817 - Phone
- (940) 381-2199
- Fax
- (940) 382-7304
- NPI assigned
- Jul 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | E8004 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E8004 | TX | Primary |
Addresses
Primary practice location
3333 Colorado Blvd
Denton, TX 76210-6817
Mailing address
3333 Colorado Blvd
Denton, TX 76210-6817
Phone (940) 381-2199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098128403 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Specialty Associates of North Texas, P.a. | Vascular Surgery | Past | Accepting new patients |
| Cardiovascularspecialty Associates of North Texas, PA | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Rockwall, TX
- NPI 1780851915
-
- Cardiovascular Disease Physician
- Irving, TX
- NPI 1194736314
Vascular Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1124027164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 COLORADO BLVD",
"city": "DENTON",
"state": "TX",
"postal_code": "762106817",
"telephone_number": "940-381-2199",
"fax_number": "940-382-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 COLORADO BLVD",
"city": "DENTON",
"state": "TX",
"postal_code": "762106817",
"telephone_number": "940-381-2199",
"fax_number": "940-382-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "E8004",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "E8004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098128403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.