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1972483493 NPI number — TIMOTHY S. JOHNSTON, M.D. PC

NPI Number: 1972483493
Health Care Provider/Practitioner: TIMOTHY S. JOHNSTON, M.D. PC

Information about “1972483493” NPI (TIMOTHY S. JOHNSTON, M.D. PC) exists in 1972483493 in HTML format HTML  |  1972483493 in plain Text format TXT  |  1972483493 in PDF (Portable Document Format) PDF  |  1972483493 in an XML format XML  formats.

NPI Number : 1972483493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972483493",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "TIMOTHY S. JOHNSTON, M.D. PC",
    "ParentOrgTIN": null,
    "OrgName": "TIMOTHY S. JOHNSTON, M.D. PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3349 G ST STE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MERCED",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95340-0978",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "209-349-8459",
    "MailingAddressFaxNumber": "209-580-4138",
    "FirstLinePracticeLocationAddress": "410 E YOSEMITE AVE STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MERCED",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95340-8220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-934-8077",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/04/2025",
    "LastUpdateDate": "11/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PURSLOW",
    "AuthorizedOfficialFirstName": "JANETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING COORDINATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "209-349-8459",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Y00000X",
        "TaxonomyName": "Otolaryngology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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