Leon McTyeire Johnston III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD05710 Issued in RI

Practice address

217 N Bigelow Rd
Hampton, CT 06247-1439

Phone

(860) 455-9958

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anchor Medical Associates

  • General Practice Physician
  • Lincoln, RI
  • NPI 1205832029
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1558367201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N BIGELOW RD",
            "city": "HAMPTON",
            "state": "CT",
            "postal_code": "062471439",
            "telephone_number": "860-455-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N BIGELOW RD",
            "city": "HAMPTON",
            "state": "CT",
            "postal_code": "062471439",
            "telephone_number": "860-455-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LEON",
        "middle_name": "MCTYEIRE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD05710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008147",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077221",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Falck, MSOTR/L
• Family Resource Services LLC
• Julia Garrick, AUD
• Hampton School District
• Hampton-Chaplin Ambulance Corps Inc
• James H Krall, LCSW
• Perry Nicholas Mandanis, M.D.
• Antonia Brancia Maxon, PH.D.
• Paul Nash, LMFT
• New England Center for Hearing

• All providers in Hampton, CT
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.