Arthur T Johnson IV, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

57582 Issued in MN

Practice address

4633 Mallard Cres
Portsmouth, VA 23703-2240

Phone

(757) 953-2507

NPI assigned

Apr 26, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1457642340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 MALLARD CRES",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032240",
            "telephone_number": "757-953-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 MALLARD CRES",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032240",
            "telephone_number": "757-953-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARTHUR",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "57582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhengran Jiang, MD
• Marc Thomas Johannsen, D.O.
• Cimone S John, NP
• Kari Louise Johndrow-Casey, CPNP-PC
• Samantha Johns
• Brian David Johnson, DO
• Burton Leroy Johnson, RPH
• Carletta Faye Johnson, BSN, RN
• Chandra Johnson
• Chloe Nicole Johnson

• Surgery Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.