Provider Demographics
NPI:1922016153
Name:WILLIAM S. JOHNSON, III, M.D., APMC
Entity Type:Organization
Organization Name:WILLIAM S. JOHNSON, III, M.D., APMC
Other - Org Name:RIVER REGION ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:985-653-5570
Mailing Address - Street 1:502 RUE DE SANTE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-5424
Mailing Address - Country:US
Mailing Address - Phone:985-653-5570
Mailing Address - Fax:985-653-5575
Practice Address - Street 1:502 RUE DE SANTE
Practice Address - Street 2:SUITE 106
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5424
Practice Address - Country:US
Practice Address - Phone:985-653-5570
Practice Address - Fax:985-653-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1751OtherRAILROAD MEDICARE
DC1751OtherRAILROAD MEDICARE