HARRY F JOHNSON (NPI# 1144260746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144260746 |
| Entity Type | Individual |
| Full Name | HARRY F JOHNSON |
| Credential | PA-C |
| Practice Address |
550 Twin Cities Blvd Suite A Niceville FL 32578-1067 |
| Practice Telephone | 8507291444 |
| Practice Fax Number | 8507290300 |
| Mailing Telephone | 8507291444 |
| Mailing Fax Number | 8507290300 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 565 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9104154 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807111 | Harry Richard Johnson | Orthopaedic Surgery | 13405 Shoreline Dr Se, Olalla, WA 98359-9618 | 2012-11-20 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1043569619 | Harry Richard Johnson Jr. | Technician, Other | 3722 Parsons Ave, Anchorage, AK 99508-1216 | 2012-08-29 |
| 1821353293 | Harry Leroy Johnson | Student in an Organized Health Care Education/Training Program | 135 W 50th St, 6th Floor, New York, NY 10020-1201 | 2012-07-11 |
| 1063741478 | Harry Isaac Johnson Jr. | Internal Medicine | 1315 2nd St Sw, Suite # 201, Roanoke, VA 24016-4944 | 2009-12-14 |
| 1093746885 | Harry W Johnson | Obstetrics & Gynecology | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2006-07-06 |
| 1104808641 | Harry Keith Johnson | Internal Medicine | 1633 Church St, Suite 160, Nashville, TN 37203-2990 | 2005-11-18 |
| Street Address |
550 TWIN CITIES BLVD SUITE A |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568400331 | William Michael Haney | Surgery | 550 Twin Cities Blvd, Suite C, Niceville, FL 32578 | 2006-06-03 |
| 1790042711 | Genesiscare Usa of Florida LLC | Surgery | 550 Twin Cities Blvd, Suite C, Niceville, FL 32578-1067 | 2012-04-16 |
| 1760653216 | Robert E Hruby Md, Pa | Surgery | 550 Twin Cities Blvd, Suite C, Niceville, FL 32578-1067 | 2008-03-12 |
| 1194810762 | Okaloosa Surgical Associates, Pa | Surgery | 550 Twin Cities Blvd, Suite C, Niceville, FL 32578 | 2006-10-03 |
| 1821025008 | Stephen T Enguidanos | Orthopaedic Surgery | 550 Twin Cities Blvd, Niceville, FL 32578-1067 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622194 | Lauren Ward Couture | Physician Assistant | 4566 E Highway 20 Ste 101, Niceville, FL 32578-8839 | 2019-10-29 |
| 1346387305 | Lowell Gardner Morris | Physician Assistant | 1001 W. College Blvd, Building 1,suite D, Niceville, FL 32578-1049 | 2007-01-31 |
| 1831165638 | Gary Phillip Bullard | Physician Assistant | 4566 E Highway 20 Ste 105, Niceville, FL 32578-8839 | 2006-02-23 |
| 1487034344 | Jennifer Edwards | Physician Assistant | 2001 E Highway 20, Niceville, FL 32578-8826 | 2015-06-05 |
| 1760783294 | Jessica Brooke Rapa | Physician Assistant | 4554 E Highway 20, Niceville, FL 32578-9755 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.