John W Johnson III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G0910 Issued in TX

Practice address

6100 Harris Pkwy Ste 225
Fort Worth, TX 76132-4126

Phone

(817) 346-5151

Fax

(817) 346-5234

NPI assigned

Feb 21, 2007

Last updated

Aug 31, 2011By the provider in NPPES

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

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEDFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Center for Urology LLP

  • Urology Physician
  • Fort Worth, TX
  • NPI 1366710196
  Medicare reassignment NPD
• John W Johnson III MD PA

  • Urology Physician
  • Fort Worth, TX
  • NPI 1962737395
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1982749164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 225",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324126",
            "telephone_number": "817-346-5151",
            "fax_number": "817-346-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 225",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324126",
            "telephone_number": "817-346-5151",
            "fax_number": "817-346-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "G0910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J Johnson, BS, IONM
• Jennifer A Johnson, DNP, APRN, ACNS-BC
• Jennifer Pappe Johnson, LPC LMFT
• Jeremy Wayne Johnson, D.O.
• John Johnson, O.D.
• Jon Robert Johnson, CPO, LPO
• Kacie Johnson, NP-C
• Kayla Johnson, MA, BCBA
• Kellie Anita Johnson, DDS
• Kelsie Aubrianne Johnson, SLP

• Urology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.