Healthcare Provider Details

I. General information

NPI: 1235584079
Provider Name (Legal Business Name): ANDREW ALAN JOHNSTONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST # D&T 2ND FL, SUITE 2720
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

3747 N FREMONT ST APT 1
CHICAGO IL
60613-0388
US

V. Phone/Fax

Practice location:
  • Phone: 347-882-3030
  • Fax: 504-702-2500
Mailing address:
  • Phone: 347-882-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number330223
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: