JACK ALSTON JOHNSON (NPI# 1881129419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881129419 |
| Entity Type | Individual |
| Full Name | JACK ALSTON JOHNSON |
| Credential | MD |
| Practice Address |
2300 Lone Star Rd Mansfield TX 76063-8744 |
| Mailing Address |
6451 Brentwood Stair Rd Ste 200 Fort Worth TX 76112-3200 |
| Practice Telephone | 8778479355 |
| Mailing Telephone | 8174969700 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R9985 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 Denver Trl, Azle, TX 760203614 | 8174448600 | |
| 1400 N. I-35, Ut At Austin Dell Em Residency Program, Suite 2.230, Austin, TX 78701 | 5123247010 | |
| 2750 Sw Wilshire Blvd, Burleson, TX 760288338 | 8177828000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1396063418 | Jack Simpson Johnson | General Practice | 979 Mt. Vernon Rd., Cookeville, TN 38501 | 2010-05-13 |
| 1295992030 | Jack Allen Johnson Jr. | Psychologist | 12469 Timberwood Dr, Walker, LA 70785-5743 | 2008-05-20 |
| 1548332570 | Jack W Johnson | Psychiatry & Neurology | 12377 Lewis Street, Suite #104, Garden Grove, CA 92840-4691 | 2006-11-14 |
| 1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
| 1730699695 | Jack N Johnson | Naturopath | 5603 38th Ave Nw, Gig Harbor, WA 98335-8218 | 2017-10-05 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
| 1902912322 | Jack F Johnson Jr. | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1801859996 | Jack Leegon Johnson Jr. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2006-04-10 |
| 1356316996 | Jack Johnson | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-02-17 |
| Street Address |
2300 LONE STAR RD |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-8744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960132 | Texas Health Hospital Mansfield | Clinic/Center | 2300 Lone Star Rd, Mansfield, TX 76063-8744 | 2020-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285150599 | Emergency Medicine Care Specialists, Inc | Emergency Medicine | 1620 Royal Oak Dr, Mansfield, OH 44906-3635 | 2017-08-17 |
| 1124413596 | Kimberli Omwanghe | Emergency Medicine | 221 Regency Pkwy Ste 121, Mansfield, TX 76063 | 2015-04-02 |
| 1427397314 | Faustus Lenamond Emergent Care, Pa | Emergency Medicine | 2228 Walnut Manor Dr, Mansfield, TX 76063-5856 | 2013-02-12 |
| 1225246903 | Shawn M. Corwin | Emergency Medicine | 995 N Walnut Creek Dr, Mansfield, TX 76063-1503 | 2007-05-18 |
| 1386784270 | Joseph Bocka | Emergency Medicine | 200 Park Ave W, Mansfield, OH 44902-1608 | 2007-02-08 |
| 1033269899 | Leroy Paul Foster Jr. | Emergency Medicine | 2208 Stonebridge Ln, Mansfield, TX 76063-5329 | 2007-01-11 |
| 1013981042 | William R Elliott | Emergency Medicine | 1827 Riva Ridge Dr, Mansfield, OH 44904-2127 | 2006-02-15 |
| 1720067119 | Gerald L Ray | Emergency Medicine | 501 E Broad St, Mansfield, TX 76063-1709 | 2006-01-13 |
| 1316472947 | Kelsey Christine English | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2017-04-20 |
| 1922542232 | Wellness and Addiction Recovery | Emergency Medicine | 390 Marion Ave, Mansfield, OH 44903-2015 | 2016-12-06 |
| Find all providers in MANSFIELD | ||||
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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.