Active NPI
William G. Johnston Jr., M.D.
- Urology Physician
- Hyannis, MA
National Provider Identifier
1568449320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 38955
- Practice address
- 110 Main St
Hyannis, MA 02601-3127 - Phone
- (508) 771-9550
- Fax
- (508) 790-9304
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 38955 | MA | Primary |
Addresses
Primary practice location
110 Main St
Hyannis, MA 02601-3127
Mailing address
110 Main St
Hyannis, MA 02601-3127
Phone (508) 771-9550
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045133 | Medicaid | MA | |
| 340000696 | Other | MA | RAILROAD MEDICARE |
| 000000029926 | Other | MA | BMC HEALTHNET |
| 2077564001 | Other | MA | CIGNA |
| L15100 | Other | MA | BLUE CROSS BLUE SHIELD |
| 27036 | Other | MA | HARVARD PILGRIM HEALTH |
| 757982 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- William G. Johnston Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1568449320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013127",
"telephone_number": "508-771-9550",
"fax_number": "508-790-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013127",
"telephone_number": "508-771-9550",
"fax_number": "508-790-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "WILLIAM",
"middle_name": "G.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "38955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045133",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340000696",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000029926",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2077564001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "L15100",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "27036",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "757982",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "JOHNSTON",
"middle_name": "G.",
"suffix": "JR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.