Provider Demographics
NPI:1841456225
Name:F. ALLEN JOHNSTON, MD, APMC
Entity type:Organization
Organization Name:F. ALLEN JOHNSTON, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSAVIO
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:225-755-5104
Mailing Address - Street 1:1940 ONEAL LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3201
Mailing Address - Country:US
Mailing Address - Phone:225-751-6666
Mailing Address - Fax:225-751-6680
Practice Address - Street 1:1940 ONEAL LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3201
Practice Address - Country:US
Practice Address - Phone:225-751-6666
Practice Address - Fax:225-751-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015408207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA10450OtherCDS
LA1317012Medicaid
LA1317012Medicaid
LAAJ9169485OtherDEA
LA1317012Medicaid