WM. Kent Johnson, M.D., F.a.C.S., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H6320 Issued in TX

Legal business name

WM. KENT JOHNSON, M.D., F.A.C.S., P.A.

Practice address

17203 Red Oak Dr Ste 103
Houston, TX 77090-2612

Phone

(281) 893-2288

Fax

(281) 893-2882

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Rosie Vailes

Title

Secretary

Phone

(281) 893-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1992979900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902612",
            "telephone_number": "281-893-2288",
            "fax_number": "281-893-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 RED OAK DR STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902612",
            "telephone_number": "281-893-2288",
            "fax_number": "281-893-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. KENT JOHNSON, M.D., F.A.C.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "VAILES",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "281-893-2288"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00662G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.