Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 20872 | TN |
N | 207RC0000X | Internist - Cardiovascular Disease | MD20872 | TN |
NPI | 1023103462 |
---|---|
Provider Name | Thomas Stevan Johnston |
First Address | Nashville, TN 37203-1562 |
Second Address | Nashville, TN 37203-1562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3825351 | (05) | TN |
4140116 | BCBS (01) | TN |
64929201 | (05) | KY |
P00396443 | RR MEDICARE (01) | TN |