Physician Compare National (NPI:1780238766)

HEALTHCARE PROVIDER: GARTH JOHNSON DC

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

Individual Professional Information
NPI	1780238766
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658603832
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191022001545
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHNSON
	Individual professional last name
Provider First Name	GARTH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	210 LAFAYETTE ST
	Group Practice or individual's line 1 address
City	PITTSBURG
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	756861630
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y