Overview
Jerry L Johnson is a Obstetrics & Gynecology Physician practicing in Lufkin, Texas. The National Provider Identifier (NPI) is #1487721858, which was assigned on November 29, 2006, and the registration record was last updated on April 19, 2022. The practitioner's main practice location is at 503 S John Redditt Dr, Lufkin, TX 75904-3120; the contact telephone number is 9366321533, and the fax number is 9366321726. The primary taxonomy of Jerry L Johnson is . Jerry L Johnson is licensed to practice in the state of Texas (#J2117).
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Provider Information
| NPI | 1487721858 |
| Entity Type | Individual |
| Provider Name | MR. JERRY L JOHNSON |
| Gender | Male |
| Credential | MD |
| Practice Address | 503 S John Redditt Dr Lufkin TX 75904-3120 |
| Practice Telephone | 9366321533 |
| Practice Fax Number | 9366321726 |
| Mailing Address | 503 South John Redditt Lufkin TX 75904 |
| Mailing Telephone | 9366346636 |
| Mailing Fax Number | 9366321726 |
| Certification Date | 2022-04-19 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-04-19 |
| Is Sole Proprietor | N |
Doctor and Clinician Information
| PAC ID | 0143404038Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JERRY L JOHNSON |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | JERRY L JOHNSON MD PA |
| Address | 503 S John Redditt Dr Lufkin TX 75904-3120 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | J2117 | TX |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 099143202 | TX | MEDICAID |
Taxonomy Information
Primary Taxonomy
| Code | 207V00000X |
| Taxonomy | |
| Classification | Obstetrics & Gynecology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | 5051 Greenspring Ave, Suite 100, Baltimore, MD 21209-4356 | Obstetrics & Gynecology Physician | 2024-06-06 |
| Darby Richards | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | Obstetrics & Gynecology Physician | 2024-06-08 |
| North Mississippi Medcial Center, Inc. | 4566 S Eason Blvd Ste 1, Tupelo, MS 38801-6540 | Obstetrics & Gynecology Physician | 2024-06-04 |
| Comreen Vargees | 3500 N Broad St, Philadelphia, PA 19140-4106 | Obstetrics & Gynecology Physician | 2024-06-04 |
| Co-Hill Urgent Care and Wellness Center | 3211 4th Ave, Beaver Falls, PA 15010-3501 | Obstetrics & Gynecology Physician | 2024-06-05 |
| Omg Specialty Care LLC | 7780 S Broadway Ste 280, Littleton, CO 80122-2633 | Obstetrics & Gynecology Physician | 2024-05-29 |
| Jacob Buote | 20486 Market St, Onanco*ck, VA 23417-4309 | Obstetrics & Gynecology Physician | 2024-05-30 |
| Malika Parchment | 1401 Lucerne Ter Fl 2, Orlando, FL 32806-2001 | Obstetrics & Gynecology Physician | 2024-06-05 |
| Hannah Glenn | 600 S Paulina St, Chicago, IL 60612-3806 | Obstetrics & Gynecology Physician | 2024-06-07 |
| Goshen Health System, Inc | 1122 Professional Dr, Goshen, IN 46526-3819 | Obstetrics & Gynecology Physician | 2024-06-06 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 503 S JOHN REDDITT DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3120 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hailey Lorayne Johnson | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Family Nurse Practitioner | 2020-06-26 |
| Kaywin M. Carter, M.D. | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Specialist | 2007-03-27 |
| Karol B Brown | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Women's Health Clinical Nurse Specialist | 2012-09-19 |
| Megan Kay Dickinson | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Family Nurse Practitioner | 2013-09-03 |
| Jerry L Johnson Md Pa | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Obstetrics & Gynecology Physician | 2010-11-16 |
| Carlie Rae Merritt | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Family Nurse Practitioner | 2019-03-12 |
| Katherine Blythe Diggs | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Nurse Practitioner | 2012-09-19 |
| 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Obstetrics & Gynecology Physician | 2007-11-06 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Angelina Emergency Medicine Associates Pa | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Emergency Medicine Physician | 2013-11-18 |
| Lufkin Physician Services Pa | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Hospitalist Physician | 2014-08-15 |
| James R Bruce | 505 S John Redditt Dr, Department of Pathology, Lufkin, TX 75904-3120 | Anatomic Pathology & Clinical Pathology Physician | 2006-09-02 |
| Morgan Stanley | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Physical Medicine & Rehabilitation Physician | 2022-12-07 |
| Jo Ann Oswalt | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Neonatal Nurse Practitioner | 2017-06-12 |
| Brittanie Gammill | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Registered Nurse | 2020-10-19 |
| Patrick Neill Gammill | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Family Nurse Practitioner | 2018-02-07 |
| Piney Woods Healthcare System Lp · Woodland Heights Medical Center | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Medicare Defined Swing Bed Hospital Unit | 2020-07-14 |
| Hb Anesthesiology Crna Group | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Certified Registered Nurse Anesthetist | 2009-08-06 |
| Vincent Emergency Group, LLC | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | Emergency Medicine Physician | 2020-03-19 |
| Find all providers in the same zip code | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tyra Williams | 902 Hill Street, Lufkin, TX 75904 | Occupational Therapy Assistant | 2018-09-10 |
| Eva Faye Mcduffie | 1006 Sherwood Rd., Lufkin, TX 75904 | Attendant Care Provider | 2019-09-09 |
| Bright Beginnings Pediatrics PLLC | 2001 Tulane Dr., Lufkin, TX 75904 | Pediatrics Physician | 2023-03-20 |
| David Kent Emmerling | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | Pharmacist | 2020-10-27 |
| Sarah Marie Stuart | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | General Practice Dentistry | 2018-06-30 |
| Austin Reynolds | 209 Christie Dr, Lufkin, TX 75904 | Behavior Technician | 2023-07-21 |
| Emmah Dellana Jones | 209 Christie Street, Lufkin, TX 75904 | Behavior Technician | 2023-04-13 |
| Altus Lufkin, Lp | 501 N Brentwood Dr, Lufkin, TX 75904 | Emergency Care Clinic/Center | 2016-03-30 |
| Britny Hernandez | 209 Christie St., Lufkin, TX 75904 | Behavior Technician | 2023-06-07 |
| Kevin Pulikottil Cherian | 402 S John Redditt Dr., Lufkin, TX 75904 | Occupational Therapist | 2018-07-23 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jerry Johnson Jr | 200 Association Dr Ste 130, Charleston, WV 25311-1277 | Community Health Worker | 2021-04-16 |
| Jerry Johnson | 988095 Nebraska Medical Ctr, Omaha, NE 68198-8095 | Physician Assistant | 2006-08-29 |
| Jerry Steven Johnson | 116 Mimosa Dr, Thomasville, GA 31792-6605 | Radiation Oncology Physician | 2005-11-07 |
| Jerry Johnson | 1680 N Fair Oaks Ave, Pasadena, CA 91103-1642 | Addiction (Substance Use Disorder) Counselor | 2015-12-04 |
| Jerry C Johnson | 3615 Chestnut St, Ralston Penn Center, Philadelphia, PA 19104 | Geriatric Medicine (Internal Medicine) Physician | 2006-06-14 |
| Jerry N Johnson | 1502 E Belt Line Rd, Carrollton, TX 75006-6307 | Chiropractor | 2006-08-13 |
| Jerry Michael Johnson | 311 S Avenue D, Burkburnett, TX 76354-3541 | Pharmacist | 2019-08-07 |
| Jerry Lee Johnson | 1316 Mcmillan St, Worthington, MN 56187-1646 | General Practice Dentistry | 2006-06-28 |
| Jerry L Johnson Md Pa | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | Obstetrics & Gynecology Physician | 2010-11-16 |
| Jerry Allen Johnson | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | Medical Physician Assistant | 2006-10-03 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
