MARY A. JOHNSTON (NPI# 1194952333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194952333 |
| Entity Type | Individual |
| Full Name | MARY A. JOHNSTON |
| Credential | MD |
| Practice Address |
5045 Carpenter Creek Dr Pensacola FL 32503-2521 |
| Mailing Address |
2315 W Jackson St Pensacola FL 32505-7552 |
| Practice Telephone | 8504162400 |
| Practice Fax Number | 8504162467 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8504362095 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME140124 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104284400 | 05 | |
| FL | BCBS FL | 9R5AT | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5855 Creek Station Dr, Pensacola, FL 325048626 | 8504354352 | 8504976195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074603 | Mary C Johnston | Occupational Therapy Assistant | 1660 Vz County Road 4205, Canton, TX 75103-5700 | 2018-02-25 |
| 1750880563 | Mary Joan Johnston | Licensed Practical Nurse | 2772 S 39th St, Lincoln, NE 68506-3234 | 2018-02-07 |
| 1053728410 | Mary Johnston | Counselor | 563 S Water Ave, Gallatin, TN 37066-6339 | 2014-07-17 |
| 1902965395 | Mary Johnston | Chiropractor | 222 Merrick Rd, Oceanside, NY 11572-1429 | 2006-12-08 |
| 1689690471 | Mary M Johnston | Social Worker | 2113 State St, 1st Floor, New Albany, IN 47150-4961 | 2006-07-14 |
| 1790760023 | Mary Hollis Johnston | Psychologist | 4820 S Greenwood Ave, Chicago, IL 60615-1914 | 2005-12-09 |
| 1528680402 | Mary Johnston | Case Manager/Care Coordinator | 344 E 100 S, Slc, UT 84111-1700 | 2020-05-13 |
| 1124689443 | Mary Dean Johnston | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2019-06-26 |
| 1952826166 | Mary Claire Johnston | Speech-Language Pathologist | 404 Racquet Club Blvd, Bedford, TX 76022-6408 | 2017-08-08 |
| 1285188029 | Mary Johnston | Social Worker | 4020 Palmer Park Blvd Ste 101b, Colorado Springs, CO 80909-3433 | 2016-08-10 |
| Street Address |
5045 CARPENTER CREEK DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471239 | Suzanne Yancey Bush | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2005-10-18 |
| 1699230508 | Melissa Greenspan | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2019-02-05 |
| 1649798315 | Megan Suzanne Voss | Nurse Practitioner | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-09-01 |
| 1609390897 | Caroline Page | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-07-28 |
| 1316460116 | Alicia Rene Hunter | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2017-07-24 |
| 1376917658 | Jamia Akins Felder | Occupational Therapist | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-11-24 |
| 1659741460 | Nathalie Pocrain-giberson | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-10-06 |
| 1588047484 | Shalini Golla | Student in an Organized Health Care Education/Training Program | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-07-09 |
| 1457732612 | Tabata Bahiense Grodin | Obstetrics & Gynecology | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-06-13 |
| 1780079541 | Jennifer Benz Findley | Behavioral Analyst | 5045 Carpenter Creek Dr, Pensacola, FL 32503-2521 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184070823 | Jason Gronert | Obstetrics & Gynecology | 8333 N Davis Hwy # 2, Pensacola, FL 32514-6050 | 2016-05-12 |
| 1124447263 | Victor Hultstrand LLC | Obstetrics & Gynecology | 4724 N Davis Hwy # 200, Pensacola, FL 32503-2339 | 2014-04-15 |
| 1508184276 | Integrity Medical Care, LLC | Obstetrics & Gynecology | 6770 N 9th Ave, Pensacola, FL 32504-7346 | 2010-05-05 |
| 1619125671 | Charles Shane Medlock | Obstetrics & Gynecology | 5153 N 9th Ave Ste 207, Pensacola, FL 32504-5705 | 2008-09-03 |
| 1366452815 | Carlos Arauco | Obstetrics & Gynecology | 1657 Trinity Dr, Pensacola, FL 32504-5708 | 2006-08-08 |
| 1487662326 | Nicholas Emmrick Sholty | Obstetrics & Gynecology | 4707 N Davis Hwy, Pensacola, FL 32503 | 2006-08-04 |
| 1831143940 | Julie A Decesare | Obstetrics & Gynecology | 8333 N Davis Hwy Fl 7, Pensacola, FL 32514-6050 | 2006-05-22 |
| 1245210046 | Paul E Larose | Obstetrics & Gynecology | 525 Brent Ln, Pensacola, FL 32503-2003 | 2006-01-18 |
| 1578540027 | Dean Edmund Altenhofen | Obstetrics & Gynecology | 6110 N Davis Hwy, Pensacola, FL 32504-6950 | 2005-12-27 |
| 1285618629 | Donna C. Bennett, Md, Pa | Obstetrics & Gynecology | 4220 N Davis Hwy, Building A, Suite 100, Pensacola, FL 32503-2752 | 2005-11-30 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.