JEFFREY THOMAS JOHNSTON (NPI# 1679969729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679969729 |
| Entity Type | Individual |
| Full Name | JEFFREY THOMAS JOHNSTON |
| Credential | MD |
| Practice Address |
910 Madison Ave Fl 2 Memphis TN 38103-3403 |
| Practice Telephone | 9014485914 |
| Practice Fax Number | 9014487306 |
| Mailing Telephone | 9014485914 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0000000000 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1700161429 | Jeffrey Jay Johnston | Hearing Instrument Specialist | 6804 Green Bay Road, 113, Kenosha, WI 53142 | 2011-10-13 |
| 1972673556 | Jeffrey Lynn Johnston | Counselor | 1221 N Kingshighway St, Imperial Building, Cape Girardeau, MO 63701-3506 | 2006-11-09 |
| 1609474212 | Jeffrey Alan Johnston | Counselor | 993 Brodhead Road, Ste 203, Moon Twp, PA 15108 | 2020-10-15 |
| 1477894186 | Jeffrey N Johnston | Physician Assistant | 6620 Main Street, 13th Floor, Houston, TX 77030-2332 | 2013-03-05 |
| 1568788768 | Jeffrey Thomas Johnston | Orthopaedic Surgery | 107 Royal Birkdale Dr, Ste D, Columbiana, OH 44408-8493 | 2010-04-13 |
| 1356598189 | Jeffrey Scott Johnston | Anesthesiology | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2008-08-22 |
| 1033324140 | Jeffrey Lebourgeois Johnston | Anesthesiology | 4144 N Central Expy, Suite 360, Dallas, TX 75204-3140 | 2007-05-11 |
| 1508856105 | Jeffrey Dean Johnston | Optometrist | 129 W Nepessing St, Lapeer, MI 48446-2102 | 2005-10-25 |
| Street Address |
910 MADISON AVE FL 2 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063070712 | Kaushik Varadarajan | Student in an Organized Health Care Education/Training Program | 910 Madison Ave Fl 2, Memphis, TN 38103-3403 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548375 | Center for Vein Restoration Tn Pllc | Surgery | 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 | 2020-08-12 |
| 1528289808 | Shaun Michael Stickley | Surgery | 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | 2007-05-02 |
| 1992813158 | Larry Dale Burke | Surgery | 6025 Walnut Grove Rd Ste 311, Memphis, TN 38120-2123 | 2006-08-28 |
| 1073538823 | Jonathan J Ellichman | Surgery | 6401 Poplar Ave Ste 410, Memphis, TN 38119-4808 | 2006-07-13 |
| 1306112487 | Jorge Luis Weber Guzman | Surgery | 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 | 2012-03-22 |
| 1881901163 | James Eric Gardner, Md, PC | Surgery | 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 | 2010-09-08 |
| 1952555666 | Prateek Kumar Gupta | Surgery | 1325 Eastmoreland Ave, Suite 310, Memphis, TN 38104-3519 | 2008-11-07 |
| 1770789349 | Larry Burke, Md, PC | Surgery | 6025 Walnut Grove Rd, #311, Memphis, TN 38120-2131 | 2007-06-21 |
| 1801009089 | James Eric Gardner | Surgery | 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 | 2007-05-07 |
| 1386744514 | Patricio A. Ilabaca, Md, PC | Surgery | 6027 Walnut Grove Rd, Suite 114, Memphis, TN 38120-2145 | 2006-09-25 |
| Find all providers in MEMPHIS | ||||
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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.