Provider Demographics
NPI:1629398896
Name:JOHNSTON, ROBERT SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCOTT
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 SANDUSKY ST STE A
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-3120
Mailing Address - Country:US
Mailing Address - Phone:419-474-7700
Mailing Address - Fax:419-691-1622
Practice Address - Street 1:1021 SANDUSKY ST STE A
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-3120
Practice Address - Country:US
Practice Address - Phone:419-474-7700
Practice Address - Fax:419-691-1622
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003633213E00000X
OH003633213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist