MEDICARE: DR. HENRY M JOHNSTON III M.D.

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	207P00000X	Emergency Medicine Physician	DR.0025592	CO

General Provider Information

NPI Number	:	1770630121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY M JOHNSTON III M.D.

Provider Business Mailing Address
First Line	:	1355 RIVERSIDE AVE STE C
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4366
Country	:	US
Telephone Number	:	970-484-4645
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 RIVERSIDE AVE STE C
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4366
Country	:	US
Telephone Number	:	970-484-4620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	02/19/2021

Similar Medicare Providers

1447116587 — CASSANDRA BRADLEY DBA LAKE LOVELAND ANESTHESIA
Practice Location Address:

1355 RIVERSIDE AVE STE C
FORT COLLINS, CO
80524-4366

Practice Phone: 970-484-4620
Practice Fax:

1275577389 — MR. JAMES C ANDERSON DPM
Practice Location Address:

1355 RIVERSIDE AVE , SUITE C
FORT COLLINS, CO
80524-4366

Practice Phone: 970-484-4620
Practice Fax:

1164458006 — DR. MICHAEL I THOMAS DPM
Practice Location Address:

1355 RIVERSIDE AVE STE C
FORT COLLINS, CO
80524-4366

Practice Phone: 970-484-4620
Practice Fax:

1568482115 — DR. STEPHEN VINCENT WILKINSON DPM
Practice Location Address:

1355 RIVERSIDE AVE STE C
FORT COLLINS, CO
80524-4366

Practice Phone: 970-484-4620
Practice Fax: 970-484-4645

1326632456 — ADVANCED PROCEDURAL EXPERTS
Practice Location Address:

1355 RIVERSIDE AVE STE D
FORT COLLINS, CO
80524-4366

Practice Phone: 970-692-4968
Practice Fax:

1366103897 — ANESTHESIA DYNAMICS LLC
Practice Location Address:

1355 RIVERSIDE AVE STE B
FORT COLLINS, CO
80524-4366

Practice Phone: 240-469-2181
Practice Fax:

Directions to “ DR. HENRY M JOHNSTON III M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.