Kerry Wayne Johnson, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Normangee, TX
NPI 1750490405 · NPPES record last updated Aug 14, 2015
Key facts
- NPI
- 1750490405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- G8878 (TX)
- Practice address
- 910 Hwy 3 West
Normangee, TX 77871 - Phone
- (936) 396-2806
- Fax
- (936) 396-9000
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Regional Health Center | Past | Accepting new patients | |
| Jonathan a. Friedman, M.D., PLLC | Past | Accepting new patients | |
| Truong-Chinh Q Nguyen MD PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G8878 | TX | Yes |
Addresses
Primary practice location
910 Hwy 3 West
Normangee, TX 77871
Mailing address
910 Hwy 3 West
Normangee, TX 77871
Phone (936) 396-2806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0975666-01 | Medicaid | TX |
Other providers in Normangee, TX
- Neile Elaine Briden
- Brookshire Brothers Inc
- Edward Marshall Clouser
- Harold Ray Fisher
- Lia K. Risk DDS, PLLC
- Anissa Dee Ludwig
- Rebecca Moutray
- Lia Risk
- Amy Isbell Smith
All providers in Normangee, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.