Active NPI
Charles L. Johnson, M.D.
- Surgery of the Hand (Surgery) Physician
- Metairie, LA
National Provider Identifier
1902966351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- MD012399
- Practice address
- 4228 Houma Blvd
Suite 600B
Metairie, LA 70006 - Phone
- (504) 454-2191
- Fax
- (504) 454-3106
- NPI assigned
- Dec 8, 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 |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | MD012399 | LA | Primary |
Addresses
Primary practice location
4228 Houma Blvd
Suite 600B
Metairie, LA 70006
Mailing address
4228 Houma Blvd
Suite 600B
Metairie, LA 70006
Phone (504) 454-2191
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 |
|---|---|---|---|
| MD012399 | LA | MD | Surgery of the Hand (Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1902966351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 HOUMA BLVD",
"address_2": "SUITE 600B",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-454-2191",
"fax_number": "504-454-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 HOUMA BLVD",
"address_2": "SUITE 600B",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-454-2191",
"fax_number": "504-454-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHARLES",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "LA",
"license": "MD012399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.