Keith R. Johnson,M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L4010 Issued in TX

Legal business name

KEITH R. JOHNSON,M.D., P.A.

Practice address

1300 Murchison Dr
Suite, 310
El Paso, TX 79902-4842

Phone

(915) 838-3888

Fax

(915) 838-3889

NPI assigned

Jan 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keith Randal Johnson, M.D.NPI 1558369058

Title

Physician/Owner

Phone

(915) 838-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith R Johnson, M.D. P.A.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • El Paso, TX
  • NPI 1558369058

  Specialist

  Medicare reassignment NPD Authorized official
• Martin Lorenzo Holguin Jr., PA-C

  • Physician Assistant
  • Brownsville, TX
  • NPI 1336890029
  Medicare reassignment NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1962640052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR",
            "address_2": "SUITE, 310",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024842",
            "telephone_number": "915-838-3888",
            "fax_number": "915-838-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR",
            "address_2": "SUITE, 310",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024842",
            "telephone_number": "915-838-3888",
            "fax_number": "915-838-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH R. JOHNSON,M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "915-838-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurean Keasling
• Corey S Keenan, DO
• Keep Smilin Family Dental PLLC
• Brenda Ann Keep, CNM/WHNP-BC
• Brenda Keirns
• Carmen Keith, MD
• Kathryn L Keith, D.C.
• Siamak Kiani Keivan, RPH
• Daniel Kelch, LPC
• Myra Eugenia Kelley-Mota, LVN

• Specialist in El Paso, TX
• Providers in El Paso, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.