Joffre Edward Johnson, M.D.
Individual provider Active NPI Emergency Medicine Physician · Round Rock, TX
NPI 1457765547 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1457765547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- S0468 (TX)
- Practice address
- 300 University Blvd
Round Rock, TX 78665-1032 - Phone
- (512) 509-0100
- Fax
- (512) 218-6330
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Longhorn Emergency Medical Associates PA
Practice addresses (Care Compare)
919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353
Hospital & facility affiliations
- St David'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170911001588 | MI | Practitioner - Emergency Medicine | 8224332887 | Reassigns benefits to 3 organizations |
| I20190831000048 | TX | Practitioner - Emergency Medicine | 8224332887 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0468 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Taylor | Current |
Accepting new patients | |
| Scott & White Hospital - Taylor | Emergency Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Emergency Medicine | Current |
Accepting new patients |
| St Joseph Mercy Hospital | Current |
Accepting new patients | |
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current |
Accepting new patients |
| Maverick Emergency Medicine Associates PA | Emergency Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Guadalupe Emergency Medicine Associates, PA | Emergency Medicine | Current |
Accepting new patients |
| St Joseph Mercy Hospital | Emergency Medicine | Current |
Accepting new patients |
| Scott & White Hospital - Taylor | Current | Accepting new patients | |
| Comal Emergency Physicians, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Texas ER Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Sound Physicians Emergency Medicine of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Degara App, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Westlake Complete Care LLC | Past | Accepting new patients | |
| Lakeway Era Acquistion Partners LLC | Past | Accepting new patients |
Locations (25 of 32)
8175 Reliable Pkwy
Chicago, IL 60686
1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
2500 E Main St
Alice, TX 78332
Phone (361) 664-4376
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000
5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273
600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/12515/brand/6/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125064607 | IL | |
| Emergency Medicine Physician | 207P00000X | S0468 | TX | Yes |
Addresses
Primary practice location
300 University Blvd
Round Rock, TX 78665-1032
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
5841 S Maryland Ave
MC 5068, Room L539
Chicago, IL 60637-1447
Phone (773) 702-9500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjohnson1349977@direct.sw.org | Direct |
Other providers in Round Rock, TX
- Carra Johnson
- Elisha Faye Johnson
- James G. Johnson
- Jasmine Johnson
- Jerry Allen Johnson
- John Gordon Johnson
- Julie Johnson
- Michelle Johnson
- Renese M. Johnson
- Sadie Johnson
All providers in Round Rock, TX · Emergency 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 Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.