Individual
MARTHA ANNE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 BYERS RD, STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Mailing address
415 BYERS RD, STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.050078
OH
207Q00000X
Family Medicine Physician
Primary
35050078J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0658681
MEDICARE PTAN
OH
01
—
0658686
MEDICARE PTAN
OH
05
—
153891
—
OH
01
—
JO0658682
MEDICARE PTAN
OH
Enumeration date
12/29/2005
Last updated
01/20/2021
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