Active NPI
Liza Johannesson, M.D PHD
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1912408170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 46229
- Practice address
- Baylor University Medical Center, 3410 Worth Street
Ste 950
Dallas, TX 75246 - Phone
- (214) 820-6983
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 46229 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 46229 | TX | Primary |
Addresses
Primary practice location
Baylor University Medical Center, 3410 Worth Street
Ste 950
Dallas, TX 75246
Mailing address
Baylor University Medical Center, 3410 Worth Street
Ste 950
Dallas, TX 75246
Phone (214) 820-6983
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ljohannesson457235@direct.sw.org |
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46229 | TX | MD | Transplant Surgery Physician |
Interoperability endpoints
- ljohannesson457235@direct.sw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1912408170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAYLOR UNIVERSITY MEDICAL CENTER, 3410 WORTH STREET",
"address_2": "STE 950",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "214-820-6983",
"fax_number": "214-818-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYLOR UNIVERSITY MEDICAL CENTER, 3410 WORTH STREET",
"address_2": "STE 950",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "214-820-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANNESSON",
"first_name": "LIZA",
"credential": "M.D PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "TX",
"license": "46229",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "46229",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ljohannesson457235@direct.sw.org",
"affiliation": "N",
"address_1": "Baylor University Medical Center, 3410 Worth Street",
"address_2": "Ste 950",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "75246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.