David Gary Johnson, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

F5243 Issued in TX

Practice address

311 W Rosewood Ave
San Antonio, TX 78212-2219

Phone

(210) 394-0389

Fax

(830) 535-6423

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. David G Johnson Professional name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Adapt of Texas, Inc.

  • Case Management Agency
  • Dallas, TX
  • NPI 1629093117
  NPD (past)
• C&I Holdings, LLC

  • Psychiatric Hospital
  • San Antonio, TX
  • NPI 1942546536
  NPD (past)
• Medvon Medical Clinic Professional Corporation

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1407513443
  NPD (past)
• Solara Behavioral Health San Antonio, LLP

  • Community Health Clinic/Center
  • San Antonio, TX
  • NPI 1124073150
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689609125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W ROSEWOOD AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122219",
            "telephone_number": "210-394-0389",
            "fax_number": "830-535-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W ROSEWOOD AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122219",
            "telephone_number": "210-394-0389",
            "fax_number": "830-535-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "F5243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00D729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "JOHNSON",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Corbin Scott Johnson
• Corine N Johnson, NP-C
• Daniel Johnson, MD
• Daphne Serena Johnson
• Darlene Johnson, RN
• David Michael Johnson, MD
• David W. Johnson, M.D.
• Deanna Johnson
• Delesie Petric Johnson, O.D.
• Dellona Starr Johnson, COTA

• Geriatric Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Geriatric Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.