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Physician Compare National (NPI:1437107059)

HEALTHCARE PROVIDER: MARIAN ELAINE JOHNSTON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1437107059
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557355252
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040429001031
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name JOHNSTON
Individual professional last name
Provider First Name MARIAN
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name BAYLOR COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty ANESTHESIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ADDICTION MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 GENERAL PRACTICE
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 INTERVENTIONAL PAIN MANAGEMENT
Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4 PAIN MANAGEMENT
Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ADDICTION MEDICINE, GENERAL PRACTICE, INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 816 E FAIRHAVEN AVE
Group Practice or individual's line 1 address
City BURLINGTON
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 982331917
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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