Dr. Keith R Johnson, MDPA
Dr. Keith R Johnson, MDPA is an Orthopedic Surgery in El Paso, Texas. Graduated from Meharry Medical College School of Medicine in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 28
- Trained at
- Meharry Medical College School of Medicine
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 10
Practice location Address checks out
1300 Murchison Ste 312El Paso, TX 79902
Phone: (915) 217-1107
Fax: (915) 217-1299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence L4010 (TX) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence L4010 (TX) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence L4010 (TX) |
| Adult Reconstructive Orthopaedic Surgery Physician | Taxonomy 207XS0114X · Licence L4010 (TX) |
| Orthopaedic Foot and Ankle Surgery Physician | Taxonomy 207XX0004X · Licence L4010 (TX) |
| Orthopaedic Hand Surgery Physician | Taxonomy 207XS0106X · Licence L4010 (TX) |
| Orthopaedic Trauma Physician | Taxonomy 207XX0801X · Licence L4010 (TX) |
| Pediatric Orthopaedic Surgery Physician | Taxonomy 207XP3100X · Licence L4010 (TX) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence L4010 (TX) |
| Surgery Physician | Taxonomy 208600000X · Licence L4010 (TX) |
Record details
| NPI number | 1558369058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPA |
| Sole proprietor | Yes |
| NPI enumerated | July 8, 2005 |
| Last updated in NPPES | March 7, 2017 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduated | 1998 (28 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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Keith R. Johnson, MD, PA
1300 Murchison Dr Ste 310, El Paso, TX 79902-4842 · (915) 838-3888