John S Kristoferson MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F6842 Issued in TX

Legal business name

JOHN S KRISTOFERSON MD PA

Practice address

3325 Medpark Dr
Denton, TX 76210

Phone

(940) 382-6757

Fax

(940) 383-1894

NPI assigned

Apr 26, 2007

Last updated

Aug 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Severin Kristoferson, MDNPI 1235124314

Title

President

Phone

(940) 382-6757

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Severin Kristoferson, M.D.

  • Orthopaedic Surgery Physician
  • Denton, TX
  • NPI 1235124314
  Authorized official Same address or phone

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1396965919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 MEDPARK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106898",
            "telephone_number": "940-382-6757",
            "fax_number": "940-383-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 MEDPARK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-382-6757",
            "fax_number": "940-383-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S KRISTOFERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "KRISTOFERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SEVERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-382-6757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F6842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0020KD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235124314",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "200002820",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8J2030",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033570501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICKIE KRAHL NPI INDIVI",
            "identifier": "1003801416",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICKIE BCBS",
            "identifier": "89N936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Lilith Johansson, LMSW
• Erika Janice Johler, RDCS
• John Allen Van Wagoner M.D. P.a. (Southwest Allergy & Asthma Center)
• John D White DDS, Inc
• John R. Everett (Acoustic Hearing Solutions)
• John Shelton, M.D. P. a.
• Jijimol E John, NP
• Brittney Johnson
• Camille Johnson, M.D.
• Claire Johnson

• Orthopaedic Surgery Physician in Denton, TX
• Providers in Denton, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.