DR. JOEL DAVID JOHNSON M.D. NPI 1922090497

NPI Information

  • NPI: 1922090497
  • Provider Name: DR. JOEL DAVID JOHNSON, M.D.
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 618 S BROADWAY AVE
    TYLER, TX
    ZIP 75701
  • Phone: (903) 596-9900

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NPI Details

DR. Joel David Johnson, M.D. is a critical care medicine internal medicine in Tyler, TX. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Joel David Johnson, M.D. NPI is 1922090497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

618 S BROADWAY AVE
TYLER, TX
ZIP 75701-665
Phone: (903) 596-9900
Fax: (903) 596-0242

The NPI 1922090497 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 enumeration date for this NPI number is 8/19/2005 and was last updated on 10/17/2011.

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
1207RP1001XInternal MedicinePulmonary DiseaseG7829TEXASNo
2207RC0200XInternal MedicineCritical Care MedicineG7829TEXASYes

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
189660JMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2079835701MEDICAIDTEXAS
3C17491MEDICARE UPIN

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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