Active NPI
Robert David Johnson, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- U6874
- Practice address
- 333 N Santa Rosa
San Antonio, TX 78207-3108 - Phone
- (210) 704-4100
- NPI assigned
- Jun 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 30480 | OK | |
| Emergency Medicine Physician | 207P00000X | U6874 | TX | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | U6874 | TX | Primary |
Addresses
Primary practice location
333 N Santa Rosa
San Antonio, TX 78207-3108
Mailing address
940 NE 13TH St
2G-2300
Oklahoma City, OK 73104-5008
Phone (405) 271-2429
Other practice location 1
940 NE 13th St
2G-2300
Oklahoma City, OK 73104-5008
Phone (405) 271-2429
Other practice location 2
6621 Fannin St
Houston, TX 77030-2358
Phone (832) 824-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005091 | GA | MD | Clinical Social Worker |
| 30480 | OK | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
| Texas Children'S Hospital | Past | Accepting new patients |
Locations
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-5125
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
940 NE 13th St
#2G2300
Oklahoma City, OK 73104
Phone (405) 271-2429
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000
Interoperability endpoints
- rjohnson421032@christushealth.direct-ci.net
Organizations & group practices 7
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1801869250
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Multi-Specialty Clinic/Center
- Edmond, OK
- NPI 1124646971
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1154617371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 NE 13TH ST",
"address_2": "2G-2300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045008",
"telephone_number": "405-271-2429",
"fax_number": "405-271-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "210-704-4100"
}
],
"practiceLocations": [
{
"address_1": "940 NE 13th St",
"address_2": "2G-2300",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045008",
"country_code": "US",
"telephone_number": "405-271-2429",
"fax_number": "405-271-2421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302358",
"country_code": "US",
"telephone_number": "832-824-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "OK",
"license": "30480",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U6874",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "U6874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.