Fredric Dorhauer Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8201 Issued in TX

Practice address

6100 Harris Pkwy
Suite 205
Fort Worth, TX 76132-4124

Phone

(817) 346-5266

Fax

(817) 346-5267

NPI assigned

Aug 4, 2005

Reactivated

May 17, 2006

Last updated

Nov 16, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1851392401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324124",
            "telephone_number": "817-346-5266",
            "fax_number": "817-346-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324124",
            "telephone_number": "817-346-5266",
            "fax_number": "817-346-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FREDRIC",
        "middle_name": "DORHAUER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2007-11-16",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald R Johnson, M.D.
• Edwin Wayne Johnson, DO
• Emilee Elisabeth Johnson, MD
• Errian Johnson
• Eshayah Johnson
• Harold E Johnson, D.O.
• Harold V Johnson III, MD
• Jacob Adam Johnson, D.D.S.
• James Daniel Johnson, MD
• James Jay Johnson, MSN, APRN, FNP-C

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.