Basic Information
| Provider Information | |||||||||
| NPI: | 1699840124 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOHNSTON | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | ALLEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1940 ONEAL LN | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708163201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257516666 | ||||||||
| FaxNumber: | 2257516680 | ||||||||
| Practice Location | |||||||||
| Address1: | 1940 ONEAL LN | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708163201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257516666 | ||||||||
| FaxNumber: | 2257516680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 05/07/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0801X | 015408 | LA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma |
ID Information
| ID | Type | State | Issuer | Description | AJ9169485 | 01 | LA | DEA | OTHER | 10450 | 01 | LA | CDS | OTHER | 1317012 | 05 | LA | MEDICAID |