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DR. SAMUEL STUART JOHNSON M.D.
NPI 1043212749
Family Medicine in New Town, ND

Active since August 12, 2005
1058 COLLEGE DR, NEW TOWN, ND 58763(701) 627-4750(888) 877-8471 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel Stuart Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL STUART JOHNSON M.D. (NPI 1043212749) is an individual family medicine provider in New Town, North Dakota, licensed in Utah (6454773-1205) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1043212749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL STUART JOHNSONCredential: M.D.
Location Address1058 COLLEGE DRNew Town, ND 58763-9112
Mailing Address315 Main St # 676New Town, ND 58763-4000 · (385) 414-1376 · Fax (888) 877-8471
Phone(701) 627-4750
Fax(888) 877-8471
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateMay 8, 2015
✔ NPI 1043212749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in UT · 6454773-1205✔ Licensed in NV · 12967
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1058 COLLEGE DR, New Town, ND 58763
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Other Identifiers 2

Medicare UPINE61861ID
Medicaid003763400ID

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE THONGPHET FNP-BC
Nurse Practitioner (Family)
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
JOANNE WIERSON RN
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
CRYSTAL SNOE RN
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
ELBOWOODS MEMORIAL HEALTH CENTER
Nurse Practitioner
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
ELBOWOODS MEMORIAL HEALTH CENTER
Optometrist
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
ELBOWOODS MEMORIAL HEALTH CENTER
Physician Assistant
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (710) 627-4750
DOUGLAS MAI
Radiology (Diagnostic Radiology)
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-7681
XAVIERA PASCALE NYANDJO PHARMD, RPH
Pharmacist
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-7621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1043212749. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Samuel Johnson located?

Samuel Johnson practices at 1058 College Dr, New Town, ND 58763. The listed phone number is (701) 627-4750.

What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Johnson was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.