Organization Active NPI

Cheryl K. Johnson MD PA

  • Adult Medicine Physician
  • Houston, TX
National Provider Identifier
1679731970
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CHERYL K. JOHNSON MD PA
Practice address
12121 Richmond Ave Ste 226
Houston, TX 77082-2454
Phone
(281) 597-0991
Fax
(281) 597-0470
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Miss Anne T Tra
Title
Account Manager
Phone
(281) 340-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 226
Houston, TX 77082-2454

Mailing address

12121 Richmond Ave Ste 226
Houston, TX 77082-2454
Phone (281) 597-0991

Other identifiers 1

IdentifierTypeStateIssuer
0067PCOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1679731970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822454",
            "telephone_number": "281-597-0991",
            "fax_number": "281-597-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822454",
            "telephone_number": "281-597-0991",
            "fax_number": "281-597-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL K. JOHNSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "TRA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "281-340-8100",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067PC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.