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J. DAVID JOHNSON,MD,PA
NPI 1376747196
Specialist in Tyler, TX

Active since June 14, 2007
618 S BROADWAY AVE, TYLER, TX 75701(903) 596-9900(903) 596-0242 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J. David Johnson,md,pa NPPES

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

J. DAVID JOHNSON,MD,PA (NPI 1376747196) is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since June 2007. The organization lists James M Gordon, Ofc Mgr, as its authorized official.

NPPES Registry Identity

NPI1376747196
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJ. DAVID JOHNSON,MD,PA
Location Address618 S BROADWAY AVETyler, TX 75701-1665
Mailing Address618 S Broadway AveTyler, TX 75701-1665 · (903) 596-9900 · Fax (903) 596-0242
Phone(903) 596-9900
Fax(903) 596-0242
Organization SubpartNo
Authorized OfficialJames M GordonOfc Mgr · (903) 596-9900
Enumeration DateJune 14, 2007
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1376747196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in TX · G7829✔ Licensed in TX · K4497
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
618 S BROADWAY AVE, Tyler, TX 75701
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Other Identifiers 3

Medicaid128264203TX
Medicare UPINC17491TX
Medicare PIN89660JTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JONATHAN ADAM MARKOWITZ M.D.
Internal Medicine (Critical Care Medicine)
618 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 596-9900
DR. TARA LEIGH TAYLOR M.D.
Internal Medicine (Critical Care Medicine)
618 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 596-9900
DR. JOEL DAVID JOHNSON M.D.
Internal Medicine (Critical Care Medicine)
618 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 596-9900

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 J. David Johnson,md,pa's NPI number?

The NPI number for J. David Johnson,md,pa is 1376747196. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is J. David Johnson,md,pa located?

J. David Johnson,md,pa is located at 618 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 596-9900.

What is J. David Johnson,md,pa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for J. David Johnson,md,pa was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.