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Contact Information

SAMUEL L JOHNSTON, MD
200 HAWKINS DR
E315GH
IOWA CITY, IA52242-1009
 Phone: 319-356-3689
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL L JOHNSTON · (Male)

NPI Number 1184832271
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2007
Last updated 12/12/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-42224
  • IA License # MD-4224
  • IL License # 036-114065
  • IL License # 036114065
  • OR License # MD153947
  • IL Medicaid 036114065
  • IL Other 206147 MEDICARE PTAN (GROUP)
  • IL Other 206147126 MEDICARE PTAN (INDIVIDUAL)
  • IL Other CA4748 MEDICARE RAILROAD (GROUP PTAN)
  • IL Other P01209465 MEDICARE RAILROAD (PROVIDER PTAN)
Hospital affiliation(s)
  • CGH MEDICAL CENTER - (Acute Care)
    100 EAST LEFEVRE ROAD
    STERLING, IL 61081
  • CGH MEDICAL CENTER - (Acute Care)
    100 EAST LEFEVRE ROAD
    STERLING, IL 61081
  • UNIVERSITY OF IOWA HOSPITAL & CLINICS - (Acute Care)
    200 HAWKINS DRIVE
    IOWA CITY, IA 52242
  • UNIVERSITY OF IOWA HOSPITAL & CLINICS - (Acute Care)
    200 HAWKINS DRIVE
    IOWA CITY, IA 52242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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