Katherine Suzanne Johnston, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD29260 Issued in OR

Practice address

700 SW Ramsey Ave
#204
Grants Pass, OR 97527-5786

Phone

(541) 955-5683

Fax

(541) 955-0983

NPI assigned

Dec 5, 2008

Last updated

Aug 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Suzanne Freese Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherinejohnston@sipeclnc.allscriptsdirect.net
• Direct secure messaging: kjohnston@siskped.gwaydirect.com

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.

• Siskiyou Pediatric Clinic, LLP

  • Pediatrics Physician
  • Grants Pass, OR
  • NPI 1700999521
  NPD

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1184869026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW RAMSEY AVE",
            "address_2": "#204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275786",
            "telephone_number": "541-955-5683",
            "fax_number": "541-955-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW RAMSEY AVE",
            "address_2": "#204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275786",
            "telephone_number": "541-955-5683",
            "fax_number": "541-955-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KATHERINE",
        "middle_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A102321",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD29260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FREESE",
            "middle_name": "SUZANNE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ross Johnson
• Tamara Ranee-Barron Johnson
• Teri Lynn Johnson
• Johnston Dental Care LLC
• Cory Michael Johnston, DMD
• Matthew Parker Johnston, DMD
• Mark Ivan Johnstun, LPC
• Jessee Joann Jolee
• Jocelyn Joling
• Jon Chambers Chiropractic, LLC (The Neuro Clinic)

• Pediatrics Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.