DR. GEORGE DAVID JOHNSTON (NPI# 1891757464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891757464 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DAVID JOHNSTON |
| Credential | D.O. |
| Practice Address |
825 Bennett Ave Medford OR 97504-6715 |
| Practice Telephone | 5417795228 |
| Practice Fax Number | 5417721533 |
| Mailing Telephone | 5417795228 |
| Mailing Fax Number | 5417721533 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
20A8812 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
DO24988 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 275335 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073636320 | George D Johnston | Psychologist | 229 1st Ave S, Kent, WA 98032-5955 | 2007-04-09 |
| 1043356769 | George Robert Johnston Jr. | Dentist | 327 E Helena St, Dillon, MT 59725-2614 | 2007-01-29 |
| Street Address |
825 BENNETT AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535302 | Joseph Mark Savino | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2005-08-16 |
| 1962989913 | Denise Lee Partin | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2018-07-23 |
| 1669981148 | Autumn Dawn Mercer | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-09-27 |
| 1861926586 | Dashia Hewitt | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-04-19 |
| 1992248769 | Rochelle Anik Manwaring | Social Worker | 825 Bennett Ave, Medford, OR 97504-6715 | 2016-11-29 |
| 1659770576 | Susan Michelle Rugh | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-08-15 |
| 1144647033 | Erica Bohan | Anesthesiology | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-03-28 |
| 1114217544 | Pain Specialists, PC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2011-04-19 |
| 1811027055 | Jeffrey Paul Leppert | Registered Nurse | 825 Bennett Ave, Medford, OR 97504-6715 | 2007-03-06 |
| 1881772416 | Caroline Capitano | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093269995 | Center for Regenerative Orthopedic Medicine, PC | Pain Medicine | 786 State St, Medford, OR 97504-8441 | 2016-08-09 |
| 1609270560 | Comprehensive Pain Solutions LLC | Pain Medicine | 701 Golf View Dr, Medford, OR 97504 | 2014-10-21 |
| 1659770576 | Susan Michelle Rugh | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2014-08-15 |
| 1629331293 | Pain Relief Institute, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-06-19 |
| 1730440355 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-30 |
| 1477813582 | Pain Relief Center,llc | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2012-05-22 |
| 1114217544 | Pain Specialists, PC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2011-04-19 |
| 1629209077 | Interventional Pain Consultants, LLC | Pain Medicine | 2925 Siskiyou Blvd, Medford, OR 97504-8179 | 2009-08-03 |
| 1881772416 | Caroline Capitano | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-11-01 |
| 1699793505 | Pain Care of Oregon, LLC | Pain Medicine | 825 Bennett Ave, Medford, OR 97504-6715 | 2006-07-18 |
| Find all providers in MEDFORD | ||||
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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.