Organization Active NPI

Joe E Johnson, Jr MD Apmc

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1205939253
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019902 Issued in LA
Legal business name
JOE E JOHNSON, JR MD APMC
Practice address
5001 Highway 190 East Service Rd
Suite A3
Covington, LA 70433-4930
Phone
(985) 893-9251
Fax
(985) 892-7893
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Joe E Johnson Jr., MD
Title
MD
Phone
(985) 893-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 019902 LA Primary

Addresses

Primary practice location

5001 Highway 190 East Service Rd
Suite A3
Covington, LA 70433-4930

Mailing address

PO Box 1855
Mandeville, LA 70470-1855
Phone (985) 893-9251

Other identifiers 1

IdentifierTypeStateIssuer
1970930MedicaidLA

National Provider Directory

National Provider Directory

Locations

5001 Highway 190 East Service Rd
Ste A3
Covington, LA 70433
Phone (985) 893-9251

5646 Read Blvd
Ste 216
New Orleans, LA 70127
Phone (504) 244-3131

Practitioners & affiliated clinicians

Practitioners 2

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1205939253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1855",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701855",
            "telephone_number": "985-893-9251",
            "fax_number": "985-892-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY 190 EAST SERVICE RD",
            "address_2": "SUITE A3",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334930",
            "telephone_number": "985-893-9251",
            "fax_number": "985-892-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE E JOHNSON, JR MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "985-893-9251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1970930",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.