Keith a. Johnstone M.D., P.C.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

4301048096 Issued in MI

Legal business name

KEITH A. JOHNSTONE M.D., P.C.

Practice address

26206 W 12 Mile Rd
201
Southfield, MI 48034-1754

Phone

(248) 355-4545

Fax

(248) 355-3855

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Keith A Johnstone, MDNPI 1760466049

Title

Owner

Phone

(248) 355-4545

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Angelo Johnstone, M.D.

  • Interventional Cardiology Physician
  • Southfield, MI
  • NPI 1760466049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1497866073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-355-4545",
            "fax_number": "248-355-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-355-4545",
            "fax_number": "248-355-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. JOHNSTONE M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSTONE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-355-4545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301048096",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301048096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500119/10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KDL Group of Michigan LLC
• Zeinab Keblawi
• Jamie Keck
• Margaret Suzanne Keehl, RN, MSN, FNP-BC
• Heather Rose Keillor
• Prashant Sudhir Kelkar, D.O.
• Jennifer Marie Kelleher, RPH
• Briana Keller, DPT
• Mia Keller
• Jasmine Kellum

• Interventional Cardiology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.