Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740204692 Individual Practitioner Male Practitioner

Dr. David O Johnson , MD

Pediatrics • Southlake, TX

Professional Overview & Biography Verified Profile Summary

Dr. David Johnson, MD is a registered healthcare professional specializing in Pediatrics in Southlake, TX. Practice services are available at 731 E SOUTHLAKE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

731 E Southlake Blvd
Suite 100

Southlake, TX 760926377

Telephone 8179128800
Fax 8179128810
Associated Practice Facility / Clinic
🏢 Philip H Swanson, Md Pa Facility NPI 1922266246

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Southlake, TX (5841 Statewide)

Telehealth Adoption Rate
6.2% 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 E4432

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1378663-01 (TX)
Commercial Insurance / Payer ID Bcbs
88X564 (TX)

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1205573813

Doctor of Osteopathic Medicine (D.O.)

NPI 1427079300

Doctor of Medicine (M.D.)

Dr. Gerald Harder , MD

Internal Medicine

NPI 1457375396

Doctor of Medicine (M.D.)

NPI 1457491227

Doctor of Medicine (M.D.)

Dr. Stacey Hatcher , MD

Internal Medicine

NPI 1477567238

Doctor of Medicine (M.D.)

Dr. Joyce Stroud , DO

Family Medicine

NPI 1538175682

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2015

Registered at 731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 760926377 (Tel: 8179128800)

📍
Updated Business Mailing Address June 11, 2015

Registered at 731 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 760926377 (Tel: 8179128800)

👤
Provider Name / Credentials Updated June 11, 2015

Recorded as DAVID JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Pediatrics (License #E4432 in TX)

🟢
Initial NPI Registration & Enumeration July 26, 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: 1740204692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: June 11, 2015
Sole Proprietor: No

Mailing Address

731 E Southlake Blvd, Suite 100

Southlake, TX 760926377

Phone: 8179128800

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.