Alan J. Johnson, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

030108 Issued in GA

Practice address

Scott & White Memorial Hospital
2401 S 31St St, ENT 4C
Temple, TX 76508-0001

Phone

(254) 931-4974

Fax

(254) 743-0423

NPI assigned

Aug 30, 2006

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD
• Augusta ENT PC

  • Specialist
  • Evans, GA
  • NPI 1770649204
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1275643520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCOTT & WHITE MEMORIAL HOSPITAL",
            "address_2": "2401 S 31ST ST, ENT 4C",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-931-4974",
            "fax_number": "254-743-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCOTT & WHITE MEMORIAL HOSPITAL",
            "address_2": "2401 S 31ST ST, ENT 4C",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-931-4974",
            "fax_number": "254-743-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALAN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "030108",
            "primary": true
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "GA",
            "license": "30108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G30108",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000361303C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srilatha Joglekar, MD
• Daniel B Johannesmann, CRNA
• Lindsay M. John, M. D.
• Nisha Sarah John, DO
• Sobha John, FNP
• Amy L Johnson, PA-C
• Ashelei Cshante' Wells Johnson
• Bryce Patrick Johnson, MD
• Calmony Johnson
• Caroline Johnson, MD

• Otolaryngology Physician in Temple, TX
• Providers in Temple, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.