Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205851672 Individual Practitioner Male Practitioner

Dr. Frederick C Johnson , DO

Pediatrics • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Johnson, DO is a registered healthcare professional specializing in Pediatrics in Dallas, TX. Practice services are available at 12221 MERIT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12221 Merit Dr
Suite 1610

Dallas, TX 752512202

Telephone 2142171911
Associated Practice Facility / Clinic
🏢 Martin Weinberg Dds Inc Facility NPI 1669432217

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
398 Specialists

Practicing in Dallas, TX (5841 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX L4474

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License TX L4474

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164307406 (TX)
Medicaid State Provider ID
23981741 (NM)
Medicaid State Provider ID
164307403 (TX)
Medicaid State Provider ID
164307404 (TX)
Commercial Insurance / Payer ID Bcbs
8S2689 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Matthew Tice , MD

Emergency Medicine

NPI 1003175233

Doctor of Medicine (M.D.)

Simone Hesson , PA

Physician Assistant

NPI 1003209925

Physician Assistant

Michael Harris , PA

Physician Assistant

NPI 1013295948

Physician Assistant

Dr. David Woodkotch , MD

Emergency Medicine

NPI 1023308178

Doctor of Medicine (M.D.)

Jose Rodriguez , PA

Physician Assistant

NPI 1033198866

Physician Assistant

Paul Clair , PA

Physician Assistant

NPI 1043587066

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2013

Registered at 12221 MERIT DR, SUITE 1610, DALLAS, TX 752512202 (Tel: 2142171911)

📍
Updated Business Mailing Address August 27, 2013

Registered at 7914 ENCLAVE WAY, DALLAS, TX 752184502 (Tel: 2142631445)

👤
Provider Name / Credentials Updated August 27, 2013

Recorded as FREDERICK JOHNSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Pediatrics (License #L4474 in TX)

🟢
Initial NPI Registration & Enumeration July 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205851672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2006
Last Update: August 27, 2013
Sole Proprietor: No

Mailing Address

7914 Enclave Way

Dallas, TX 752184502

Phone: 2142631445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.