Jack C Johnston, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

K6025 Issued in TX

Practice address

2501 Jimmy Johnson Blvd
Suite 400
PT. Arthur, TX 77640

Phone

(409) 838-0346

Fax

(409) 839-3720

NPI assigned

Dec 2, 2005

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

Enrolled in TX

Enrollment records 1

Hospital certification: CCN 673030

Legal name

ST ELIZABETH REHAB PARTNERS LLP

Doing business as

KATE DISHMAN REHABILITATION HOSPITAL

Certification status

Active

Provider type (POS)

Hospital – Rehabilitation

Participating since

Apr 24, 2008

Last certification

Nov 14, 2019

Beds

27

Ownership / control type

Private (for profit)

Organization structure

OtherProprietary

Enrollment address

2830 Calder St
FL 6
Beaumont, TX 77702-1809
Hospital Rehabilitation Unit

Hospital subgroups

Rehabilitation

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jerry Doyle Clark, M.D.

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1083698898

  O20070921000595

  Same enrollment
• Burnet Todd Clarke, MD

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1992789713

  O20070921000595

  Same enrollment
• Charles Chester Domingues, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Beaumont, TX
  • NPI 1417931239

  O20070921000595

  Same enrollment
• Shawn Michael Figari, MD

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1598749517

  O20070921000595

  Same enrollment
• Robert Charles Kramer, MD

  • Orthopaedic Hand Surgery Physician
  • Beaumont, TX
  • NPI 1235113051

  O20070921000595

  Same enrollment
• Alvin Wayne Larkins, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Beaumont, TX
  • NPI 1396729323

  O20070921000595

  Same enrollment
• Jack Gober McNeill, M.D.

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1144204967

  O20070921000595

  Same enrollment
• St Elizabeth Rehab Partners, LLP

  • Rehabilitation Hospital
  • Beaumont, TX
  • NPI 1881884799

  O20070921000595

  Same enrollment
• John Thomas Taylor, M.D.

  • Orthopaedic Hand Surgery Physician
  • Beaumont, TX
  • NPI 1588648307

  O20070921000595

  Same enrollment
• David Dean Teuscher, M.D.

  • Orthopaedic Surgery Physician
  • Lakeway, TX
  • NPI 1962486936

  O20070921000595

  Same enrollment
• Daniel Michael Thompson, MD

  • Orthopaedic Trauma Physician
  • Beaumont, TX
  • NPI 1396729117

  O20070921000595

  Same enrollment
• Curtis Doyle Thorpe, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Beaumont, TX
  • NPI 1750365722

  O20070921000595

  Same enrollment

Listed as

Kate Dishman Rehabilitation HospitalCCN 673030

Ownership

For profit

Certified

Apr 24, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Burnet Todd Clarke, MD

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1992789713

  Limited Partnership Interest

  CMS ownership
• Juan Elias Davila, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Beaumont, TX
  • NPI 1609850429

  Limited Partnership Interest

  CMS ownership
• Shawn Michael Figari, MD

  • Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1598749517

  Limited Partnership Interest

  CMS ownership
• Robert Charles Kramer, MD

  • Orthopaedic Hand Surgery Physician
  • Beaumont, TX
  • NPI 1235113051

  Limited Partnership Interest

  CMS ownership
• Wagdy S Rizk, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Beaumont, TX
  • NPI 1285602300

  Limited Partnership Interest

  CMS ownership
• Daniel Michael Thompson, MD

  • Orthopaedic Trauma Physician
  • Beaumont, TX
  • NPI 1396729117

  Limited Partnership Interest

  CMS ownership
• Curtis Doyle Thorpe, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Beaumont, TX
  • NPI 1750365722

  Limited Partnership Interest

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christle Denise Colbert, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Beaumont, TX
  • NPI 1649439712

  Inpatient rehabilitation facility

  Care Compare affiliation
• Stephen B O'Neil, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Beaumont, TX
  • NPI 1972506699

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1922082940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAUREL STREET",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77707",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 400",
            "city": "PT. ARTHUR",
            "state": "TX",
            "postal_code": "77640",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JACK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "K6025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.