RUDOLPH GORDON JOHNSTONE MD NPI 1710977962

NPI Information

  • NPI: 1710977962
  • Provider Name: RUDOLPH GORDON JOHNSTONE, MD
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 48 CREEKVIEW CT
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 458-7431

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NPI Details

Rudolph Gordon Johnstone, MD is an allergy immunology in Greenville, SC with 39 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Rudolph Gordon Johnstone, MD NPI is 1710977962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

48 CREEKVIEW CT
GREENVILLE, SC
ZIP 29615-800
Phone: (864) 458-7431
Fax: (864) 458-7463

The NPI 1710977962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test for allergy using allergenic extract injected into skin (HCPCS:95024)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Test to measure expiratory airflow and volume (HCPCS:94010)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology13617SOUTH CAROLINANo
2207K00000XAllergy & ImmunologyMD13617SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1136178MEDICAIDSOUTH CAROLINA
2D182976910OTHERSOUTH CAROLINAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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