Annelle Rae Johnson, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Van Alstyne, TX
NPI 1386670313 · NPPES record last updated Sep 19, 2011
Key facts
- NPI
- 1386670313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- N8798 (TX)
- Practice address
- 350 N Cartwright Rd
Van Alstyne, TX 75495-7111 - Phone
- (903) 482-9153
- Fax
- (903) 482-9514
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serafini Medical, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 2009017805 | MO | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | N8798 | TX | Yes |
Addresses
Primary practice location
350 N Cartwright Rd
Van Alstyne, TX 75495-7111
Mailing address
350 N Cartwright Rd
Van Alstyne, TX 75495-7111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200653200A | Medicaid | KS | |
| 281322202 | Medicaid | TX | |
| 1386670313 | Medicaid | MO |
Other providers in Van Alstyne, TX
- Hope for Home Counseling
- Hope in Tomorrow
- Michael Hoyt
- In-Sync Specialty Home Care LLC
- Cathryn Elizabeth James
- Christine Anne Johnson
- Margaret Anne Jones
- Irine K Karani
- Kids Choice Home Health Inc
- Bryan Kelly Kincannon
All providers in Van Alstyne, TX · Geriatric Medicine (Family Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.