Susanne T Johnson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03648 Issued in TX

Practice address

5228 W Plano Pkwy
Plano, TX 75093-5005

Phone

(972) 250-5700

Fax

(972) 250-5651

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susanne T Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sjohnson1000890@direct.hopkinsmedicine.org

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1376503623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700",
            "fax_number": "972-250-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSANNE",
        "middle_name": "T",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNE",
            "last_name": "NGUYEN",
            "middle_name": "T",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Lowell Johnson, M.D., MBA, FACP
• Roger L. Johnson, M.A, THM, L.P.C.
• Saturday Johnson, PA-C
• Sharon Lynn Johnson, COTA
• Shelby C Johnson
• Tamara Lynne Johnson, LPC
• Trevor J Johnson
• Trianna Johnson
• Vanity Johnson, LCSW
• Zachary D Johnson, MD

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.