ANNELLE RAE JOHNSON MD NPI 1386670313

NPI Information

NPI: 1386670313
Provider Name: ANNELLE RAE JOHNSON, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
350 N CARTWRIGHT RD
VAN ALSTYNE, TX
ZIP 75495
Phone: (903) 482-9153
Get Directions

Annelle Rae Johnson, MD is a geriatric medicine family medicine in Van Alstyne, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Annelle Rae Johnson, MD NPI is 1386670313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 N CARTWRIGHT RD
VAN ALSTYNE, TX
ZIP 75495-111
Phone: (903) 482-9153
Fax: (903) 482-9514

The enumeration date for this NPI number is 6/23/2006 and was last updated on 9/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	2009017805	MISSOURI	No
2	207QG0300X	Family Medicine	Geriatric Medicine	N8798	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00821662	MEDICARE PIN	MISSOURI
2	1386670313	MEDICAID	MISSOURI
3	200653200A	MEDICAID	KANSAS
4	TXB125777	MEDICARE PIN	TEXAS
5	281322202	MEDICAID	TEXAS
6	N99000005	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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