Active NPI
Paul E. Johnston, MD
- Obstetrics & Gynecology Physician
- Kamuela, HI
National Provider Identifier
1174606131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD-10242
- Practice address
- 64-604 Mana Road
Kamuela, HI 96743 - Phone
- (808) 938-4540
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD-10242 | HI | Primary |
Addresses
Primary practice location
64-604 Mana Road
Kamuela, HI 96743
Mailing address
PO Box 916
Kamuela, HI 96743-0916
Phone (808) 938-4540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089242-02 | Medicaid | HI | |
| 00A0223485 | Other | HI | HMSA BILLING NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-10242 | HI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1174606131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 916",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967430916",
"telephone_number": "808-938-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-604 MANA ROAD",
"city": "KAMUELA",
"state": "HI",
"postal_code": "96743",
"telephone_number": "808-938-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "PAUL",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2022-06-03",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "MD-10242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089242-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "00A0223485",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.