DR. RICHARD FREDERCIK JOHNSON (NPI# 1164422077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164422077 |
| Entity Type | Individual |
| Full Name | DR. RICHARD FREDERCIK JOHNSON |
| Credential | M.D. |
| Practice Address |
1400 E Bay Dr Largo FL 33771-1013 |
| Practice Telephone | 7275860047 |
| Practice Fax Number | 7275857867 |
| Mailing Telephone | 7275860047 |
| Mailing Fax Number | 7275857867 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
ME25396 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WORK COMP CERTIFICATION # | 1708085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005441 | Richard Johnson | Technician | 4614 G St Se, Washington, DC 20019-7833 | 2020-05-28 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1831695113 | Richard A Johnson | Technician/Technologist | 6081 Route 96 Ste 8, Farmington, NY 14425-1062 | 2018-04-04 |
| 1346765138 | Richard Johnson Jr. | Driver | 502 Hazelhurst Ave, Richmond, VA 23222-2825 | 2017-08-14 |
| 1225416506 | Richard Johnson | Internal Medicine | 63 Cottonwood Ln, Briarcliff Manor, NY 10510-2140 | 2015-05-07 |
| 1407126519 | Richard Scott Johnson | Social Worker | 625 S 300 E, Brigham City, UT 84302-2910 | 2012-01-05 |
| 1538439641 | Richard Johnson | Respiratory Therapist, Certified | 9142 Wooded Hill Dr, Corona, CA 92883-9345 | 2012-01-05 |
| 1568698934 | Richard Benjamin Johnson | Anesthesiology | Emory Department of Anesthesiology, 1364 Clifton Road Ne. 3b South, Emory University Hosp, Atlanta, GA 30322-0001 | 2009-05-29 |
| 1538369400 | Richard Stanley Johnson | Internal Medicine | 10644 Old Hammock Way, Wellington, FL 33414 | 2007-07-19 |
| 1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
| Street Address |
1400 E BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33771-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232391 | American Current Care P.a . | Clinic/Center | 1400 E Bay Dr, Largo, FL 33771-1013 | 2018-07-24 |
| 1124505078 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1400 E Bay Dr, Largo, FL 33771-1013 | 2018-07-24 |
| 1619426780 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 1400 E Bay Dr, Largo, FL 33771-1013 | 2016-09-29 |
| 1730386384 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 1400 E Bay Dr, Largo, FL 33771-1013 | 2007-06-28 |
| 1205836111 | Edward M Kasper | Preventive Medicine | 1400 E Bay Dr, Largo, FL 33771-1013 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970822 | Keys2health LLC | Nurse Practitioner | 1050 Starkeyrd. Unit 606, Largo, FL 33771 | 2020-07-23 |
| 1194210906 | Agape Gem Care LLC | In Home Supportive Care | 2945 E Bay Dr Ste A, Largo, FL 33771 | 2018-06-25 |
| 1487162723 | Aim Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8380 Ulmerton Rd Ste 302, Largo, FL 33771 | 2018-01-22 |
| 1629511720 | Jane Maguire Inc | Counselor | 1101 Belcher Rd. S., Suite J., Largo, FL 33771 | 2016-11-22 |
| 1477890283 | Celisa K Bonner | Social Worker | 13787 Belcher Road S., Suite 220, Largo, FL 33771 | 2013-01-14 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1104060391 | Letitia A Mcintosh-reid | Behavioral Analyst | 940 Starkey Road, # 3105, Largo, FL 33771 | 2009-05-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| Find all providers in zip 33771 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836111 | Edward M Kasper | Preventive Medicine | 1400 E Bay Dr, Largo, FL 33771-1013 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1912463746 | Healthstat Wellness Pasco Land O Lakes | Preventive Medicine | 4111 Land O Lakes Blvd Ste 301, Land O Lakes, FL 34639-4403 | 2019-02-18 |
| 1811436884 | Healthstat Onsite Clinic Mosaic Highland Oaks | Preventive Medicine | 10210 Highland Manor Dr Ste 350, Tampa, FL 33610-9177 | 2017-02-23 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1427418003 | Healthstat Onsite Clinic Duette | Preventive Medicine | 1295 Duette Rd, Duette, FL 34219-7921 | 2016-02-25 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1588054514 | Healthstat Onsite Clinic Mosaic Plant City | Preventive Medicine | 10608 Paul Buchman Hwy, Plant City, FL 33565 | 2015-01-29 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1538568936 | Healthstat Onsite Clinic- Mosaic Bradley | Preventive Medicine | 11200 State Rd. 37 South, Bradley, FL 33835 | 2014-08-21 |
| 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.