Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coy H Johnston III, MD

Individual provider Family Medicine Physician · NPI 1720371321

Coy H Johnston III, MD is a Family Practice in Weston, Wisconsin. Qualified in 2010, 16 years ago. Practices with Innova Emergency Medical Associates PC, a 69-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4005 Community Center Dr
Weston, WI 54476-4139
Phone: (715) 241-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 59857 (WI)

Record details

NPI number1720371321
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 21, 2014
Mailing address4005 Community Center Dr, Weston, WI 54476-4139

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Innova Emergency Medical Associates Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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