Healthcare Provider Details

I. General information

NPI: 1225116411
Provider Name (Legal Business Name): ROBERT THOMAS JOHNSTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST SUITE 5106
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

1400 LOCUST ST SUITE 5106
PITTSBURGH PA
15219-5114
US

V. Phone/Fax

Practice location:
  • Phone: 412-471-3061
  • Fax: 412-471-6621
Mailing address:
  • Phone: 412-471-3061
  • Fax: 412-471-6621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD015363E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: