MEDICARE: JAMES P JOHNSTON D O INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34007193J	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659463867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES P JOHNSTON D O INC

Provider Business Mailing Address
First Line	:	5063 DRESDEN CT
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-7695
Country	:	US
Telephone Number	:	740-453-9173
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 CHESTNUT ST
Second Line	:
City	:	DRESDEN
State	:	OH
Zip	:	43821-9590
Country	:	US
Telephone Number	:	740-754-2671
Fax Number	:	740-754-1812

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	JAMES P JOHNSTON
Credential	:	D O
Telephone Number	:	740-754-2671

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	01/25/2011

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