Active NPI
G. Gilbert Johnston, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tacoma, WA
National Provider Identifier
1720020043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD00019180
- Practice address
- 1802 Yakima Ave Ste 102
Tacoma, WA 98405-5303 - Phone
- (253) 272-7777
- Fax
- (253) 426-4142
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD00019180 | WA | Primary |
Addresses
Primary practice location
1802 Yakima Ave Ste 102
Tacoma, WA 98405-5303
Mailing address
1802 Yakima Ave Ste 102
Tacoma, WA 98405-5303
Phone (253) 272-7777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191194 | Other | WA | STATE L&I |
| 8905937 | Other | WA | CRIME VICTIMS |
| 1073899 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19180 | CA | MD | Acupuncturist |
| MD00019180 | WA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Health System | Past | Accepting new patients | |
| Franciscan Health System | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Tacoma, WA
- NPI 1225251937
-
- Psychiatric Hospital Unit
- Tacoma, WA
- NPI 1497978100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1720020043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055303",
"telephone_number": "253-272-7777",
"fax_number": "253-426-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 102",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055303",
"telephone_number": "253-272-7777",
"fax_number": "253-426-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "G.",
"middle_name": "GILBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD00019180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0191194",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8905937",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073899",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.