Terry L Johnson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J5795 Issued in TX

Practice address

3506 Buchanan St
Suite B
Wichita Falls, TX 76308-1856

Phone

(940) 696-1600

Fax

(940) 696-1665

NPI assigned

Oct 13, 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• Direct secure messaging: tjohnson14037@unitedregional.medalliesdirect.net
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• North Central Texas Community Health Care Center, Inc

  dba Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1861582561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 BUCHANAN ST",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081856",
            "telephone_number": "940-696-1600",
            "fax_number": "940-696-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 BUCHANAN ST",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081856",
            "telephone_number": "940-696-1600",
            "fax_number": "940-696-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERRY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205122-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Arthur Johnson, DDS, MS
• Jaidyn Kade Johnson
• Jeffrey Johnson, DDS
• Katherine Johnson, LPC
• Payton Janae Johnson
• Lara Noel Johnston
• Linda Johnston
• Mari Brooke Johnston, MSN, RN, FNP-BC
• Ashley Jones
• Donnica Jones, NURSE PRACTITIONER

• Pediatrics Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.