ANN ILENE PAYNE-JOHNSON (NPI# 1174652275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174652275 |
| Entity Type | Individual |
| Full Name | ANN ILENE PAYNE-JOHNSON |
| Credential | MD |
| Practice Address |
3754 Highway 90 Ste 300 Pace FL 32571-1098 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504165510 |
| Practice Fax Number | 8504165511 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME113587 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
ME113587 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3754 HIGHWAY 90 STE 300 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458179 | Steven Andrew Cross | Pharmacist | 3754 Highway 90 Ste 300, Pace, FL 32571-1098 | 2020-08-21 |
| 1396378576 | Justin Matthew Powell | Pharmacist | 3754 Highway 90 Ste 300, Pace, FL 32571-1098 | 2020-02-17 |
| 1659549509 | Gulf Coast Orthopedic Specialists Pa | Specialist | 3754 Highway 90 Ste 300, Pace, FL 32571-1098 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
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|---|---|---|---|---|
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| 1336767532 | Morteza Taeb | Family Medicine | 7301 Wiles Rd Ste 101, Coral Springs, FL 33067-4105 | 2020-07-14 |
| 1093144578 | M.d. Weight Loss, LLC | Family Medicine | 8450 Cooper Creek Blvd Ste 102, University Park, FL 34201-2018 | 2013-11-05 |
| 1538507066 | Fort Myers Nuviva Medical Weight Loss Inc | Family Medicine | 13450 Parker Commons Blvd, Suite 105, Fort Myers, FL 33912-1810 | 2013-06-06 |
| 1316286057 | Stanley Eugene Rosewater | Family Medicine | 1217 Ewing Street, Clearwater, FL 33756 | 2013-01-31 |
| 1326680927 | Recharge LLC | Family Medicine | 47 Sw 17th St, Ocala, FL 34471-8104 | 2019-10-15 |
| 1023581576 | Island Weight Loss | Family Medicine | 1365 N Courtenay Pkwy, Merritt Island, FL 32953-4405 | 2019-01-08 |
| 1467944421 | Latino Medicasl Center 111 Inc | Family Medicine | 3670 W Oakland Park Blvd, Lauderdale Lakes, FL 33311-1148 | 2018-06-05 |
| 1841644358 | Jeremy D. Mcconnell, Md, Pa | Family Medicine | 5517 21st Ave W, Bradenton, FL 34209-5604 | 2016-04-20 |
| 1821471947 | Deerfield Health Clinic, LLC | Family Medicine | 525 S Federal Hwy, Deerfield Beach, FL 33441-4153 | 2015-07-07 |
| 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.