Organization Active NPI

Johnston Yee Family Medicine PC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1154496214
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOHNSTON YEE FAMILY MEDICINE PC
Practice address
8285 W Arby Ave Ste 190
Las Vegas, NV 89113-2228
Phone
(702) 458-5099
Fax
(702) 458-5199
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Charles Johnston, MD
Title
Owner
Phone
(702) 458-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8285 W Arby Ave Ste 190
Las Vegas, NV 89113-2228

Mailing address

8285 W Arby Ave Ste 190
Las Vegas, NV 89113-2228
Phone (702) 458-5099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000410 NV Part B Supplier - Clinic/Group Practice 2961427737 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8285 W Arby Ave
Ste 190
Las Vegas, NV 89113
Phone (702) 263-9644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1154496214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132228",
            "telephone_number": "702-458-5099",
            "fax_number": "702-458-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132228",
            "telephone_number": "702-458-5099",
            "fax_number": "702-458-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON YEE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-458-5099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.