1225116411 NPI number — ROBERT THOMAS JOHNSTON MD

Table of content: VANESSA ORDONES-HANKINS LCSW (NPI 1558903831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225116411 NPI number — ROBERT THOMAS JOHNSTON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSTON
Provider First Name:
ROBERT
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225116411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 LOCUST ST
Provider Second Line Business Mailing Address:
SUITE 5106
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15219-5114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-471-3061
Provider Business Mailing Address Fax Number:
412-471-6621

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 LOCUST ST
Provider Second Line Business Practice Location Address:
SUITE 5106
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15219-5114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-471-3061
Provider Business Practice Location Address Fax Number:
412-471-6621
Provider Enumeration Date:
11/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD015363E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 211217 . This is a "UPMC HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11130805 . This is a "TRAVELERS MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 05033 . This is a "UNITED MINEWORKERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0107271650004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 084865 . This is a "HIGHMARK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 220102 . This is a "HEALTH AMERICA/ASSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 483935 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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