Provider Demographics
NPI:1063658011
Name:ROBERT T. JOHNSTON MD PLLC
Entity Type:Organization
Organization Name:ROBERT T. JOHNSTON MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-471-3061
Mailing Address - Street 1:1400 LOCUST STREET
Mailing Address - Street 2:SUITE 5106
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-471-3061
Mailing Address - Fax:412-471-6621
Practice Address - Street 1:1400 LOCUST STREET
Practice Address - Street 2:SUITE 5106
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-471-3061
Practice Address - Fax:412-471-6621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015363E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA483935OtherAETNA US HEALTHCARE
05033OtherUMWA
PA084865OtherHIGHMARK BLUE SHIELD
PAC29356Medicare UPIN