NPI 1104445253 · live from the CMS NPI Registry
Tyler Louis Johnston, MD
Emergency Medicine in Toledo, OH. National Provider Identifier 1104445253, active.
NPI record
| NPI | 1104445253 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 5923 Renaissance Pl, Toledo, OH 43623 |
| Practice phone | 567-408-2002 |
| Mailing address | 2213 Cherry St, Toledo, OH 43608 |
| Enumerated | April 9, 2020 |
| Last updated | August 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 35.145371 (OH) |
| Emergency Medicine primary | 207P00000X | MED-PHYS-LIC-141522 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.