Kerry Wayne Johnson, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G8878 Issued in TX

Practice address

910 Hwy 3 West
Normangee, TX 77871

Phone

(936) 396-2806

Fax

(936) 396-9000

NPI assigned

Aug 29, 2006

Last updated

Aug 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan a. Friedman, M.D., PLLC

  • Physician Assistant
  • Bryan, TX
  • NPI 1629127212
  NPD (past)
• St. Joseph Regional Health Center

  dba St. Joseph Normangee Family Medicine Clinic

  • Primary Care Clinic/Center
  • Normangee, TX
  • NPI 1548344286
  NPD (past)
• Truong-Chinh Q Nguyen MD PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1194977256
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1750490405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HWY 3 WEST",
            "city": "NORMANGEE",
            "state": "TX",
            "postal_code": "77871",
            "telephone_number": "936-396-2806",
            "fax_number": "936-396-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HWY 3 WEST",
            "city": "NORMANGEE",
            "state": "TX",
            "postal_code": "77871",
            "telephone_number": "936-396-2806",
            "fax_number": "936-396-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G8878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neile Elaine Briden, APRN, FNP-C
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy #75)
• Edward Marshall Clouser, RPH
• Harold Ray Fisher, R PH
• Lia K. Risk DDS, PLLC (Brazos Hills Dental Care)
• Anissa Dee Ludwig
• Rebecca Moutray, MED,LPC
• Lia Risk, D.D.S.
• Amy Isbell Smith

• Obstetrics & Gynecology Physician in Normangee, TX
• Providers in Normangee, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.