DR. MEGAN BROOK JOHNSON (NPI# 1114211299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114211299 |
| Entity Type | Individual |
| Full Name | DR. MEGAN BROOK JOHNSON |
| Credential | D.P.M. |
| Practice Address |
13019 W Linebaugh Ave Ste 101 Tampa FL 33626 |
| Mailing Address |
13019 W Linebaugh Ave Ste 101 Tampa FL 33626-4507 |
| Practice Telephone | 8139259431 |
| Mailing Telephone | 8139259431 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3663 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 480011623 | 01 |
| FL | DMERC | 7720870001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565534 | Megan Elayne Johnson | Counselor | 1003 Bering Ct, Suisun City, CA 94585-2170 | 2020-07-14 |
| 1679114672 | Megan Johnson | Speech-Language Pathologist | 17609 Ventura Blvd Ste 302, Encino, CA 91316-5128 | 2019-10-01 |
| 1285288274 | Megan Cecile Johnson | Nurse Practitioner | 7924 Ne 53rd St, Kansas City, MO 64119-4149 | 2019-07-28 |
| 1013496645 | Megan Elaine Johnson | Physical Therapist | 1 Paranor Dr, Simpsonville, SC 29681-4555 | 2018-08-14 |
| 1497254668 | Megan Elizabeth Johnson | Physical Therapist | 15 Reads Way Ste 205, New Castle, DE 19720-1600 | 2018-02-02 |
| 1689187486 | Megan Elizabeth Johnson | Social Worker | 40 Homestead Ln, Stow, MA 01775-1357 | 2017-11-15 |
| 1518470699 | Megan Leann Johnson | Nurse Practitioner | 255 Church St Ste 102b, Pikeville, KY 41501-3476 | 2017-11-10 |
| 1356888390 | Megan Lynn Johnson | Registered Nurse | 33 Marion Rd, Mattapoisett, MA 02739-2070 | 2017-01-29 |
| 1295190692 | Megan Johnson | Occupational Therapy Assistant | 1901 E Lexington Ave, Gilbert, AZ 85234-6128 | 2015-12-30 |
| 1003292558 | Megan Johnson | Registered Nurse | 1460 Astor Ave, Ann Arbor, MI 48104-6144 | 2015-08-06 |
| Street Address |
13019 W LINEBAUGH AVE STE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629573217 | Tidewater Foot & Ankle Associates, Inc. | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437207933 | All Podiatry Group Inc | Podiatrist | 2511 W. Dr Martin L. King Blvd., Tampa, FL 33607 | 2007-01-08 |
| 1225103260 | Richard Steven Salkowe | Podiatrist | 4130 Carrollwood Village Dr, Tampa, FL 33618-8626 | 2006-11-22 |
| 1831288554 | Bernard Goldstein | Podiatrist | 13615 Bruce B Downs Blvd, Suite 112, Tampa, FL 33613-4607 | 2006-10-12 |
| 1942238829 | Paul A Beyer | Podiatrist | 13349 N 56th St, Tampa, FL 33617-1161 | 2006-06-29 |
| 1124080866 | James Russell Lowrey | Podiatrist | 8583 W Linebaugh Ave, Tampa, FL 33625-3731 | 2006-04-06 |
| 1629573217 | Tidewater Foot & Ankle Associates, Inc. | Podiatrist | 13019 W Linebaugh Ave Ste 101, Tampa, FL 33626 | 2018-03-27 |
| 1831619956 | Michal Waldman Dpm Pa | Podiatrist | 1706 E Bearss Ave, Tampa, FL 33613-2451 | 2017-06-20 |
| 1043743800 | Michael Birau | Podiatrist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-04-09 |
| 1740726959 | Kussel & Associates | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2017-01-11 |
| 1245784149 | Kussel & Associates Inc | Podiatrist | 1302 W Swann Ave, Tampa, FL 33606-2531 | 2016-08-09 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.