HAROLD TIMOTHY JOHNSON


Address: 1005 Mar Walt Dr, Family Medicine Department, Fort Walton Beach, FL 32547-6707
Phone: 8508636600

HAROLD TIMOTHY JOHNSON (NPI# 1336124098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336124098
Entity Type Individual
Full Name HAROLD TIMOTHY JOHNSON
Credential PA-C
Practice Address 1005 Mar Walt Dr
Family Medicine Department
Fort Walton Beach
FL 32547-6707
Practice Telephone 8508636600
Practice Fax Number 8508620977
Mailing Telephone 8508636600
Mailing Fax Number 8508620977
Enumeration Date 2005-12-14
Last Update Date 2017-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9101157 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBSFL Y0CH5 01
FL 290698800 05

Other Providers HAROLD JOHNSON

NPI Name Taxonomy Address Enumeration
1689048951 Harold Hazen Johnson Jr. Physical Therapy Assistant 17028 Cadbury Cir., Cadbury At Lewes, Lewes, DE 19958 2015-11-24
1831314350 Harold Johnson Jr. Specialist 3794 Martin Luther King Jr Ave Se, Suite 100, Washington, DC 20032-1580 2007-04-17
1770605636 Harold Floyd Johnson Dentist 10510 Montwood, Suite D, El Paso, TX 79935-2703 2007-04-04
1497859482 Harold V Johnson IIi Internal Medicine 800 Eighth Ave, Suite #412, Fort Worth, TX 76104-2618 2006-09-11
1275944761 Harold E Johnson Chiropractor 221 W Broadway St, Monticello, IN 47960-2001 2014-05-19
1720264906 Harold Patrick Johnson Psychiatry & Neurology 7720 Washington St, Port Richey, FL 34668-6553 2008-01-17
1790980167 Harold Cortez Johnson Dentist 21761 Ryan Rd, Warren, MI 48091 2007-06-18
1205965951 Harold Desmond Johnson Obstetrics & Gynecology 1508 Division St, Ste 205, Oregon City, OR 97045-1582 2007-03-05
1326156191 Harold M Johnson Internal Medicine 5405 S 500 E Ste 202, Ogden, UT 84405-7419 2006-08-29
1417970104 Harold Michael Johnson Social Worker 445 S Landmark Ave, Bloomington, IN 47403-5004 2006-07-25

Office Location

Street Address 1005 MAR WALT DR
FAMILY MEDICINE DEPARTMENT
City FORT WALTON BEACH
State FL
Zip Code 32547-6707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174517627 Michael Andrew Johnson Physician Assistant 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2005-09-09
1023658408 Katelyn Elaine Dye Nurse Practitioner 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 2020-01-13
1467988220 Katrina Pendleton Borner Nurse Practitioner 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 2017-05-11
1992067383 Irina Viktorovna Smith Pediatrics 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 2012-06-12
1114242781 Leslie Marie Anderson Dietitian, Registered 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 2010-04-07
1134267537 White-wilson Medical Center, P.a. Family Medicine 1005 Mar Walt Dr, Fp Department, Fort Walton Beach, FL 32547-6707 2007-02-01
1518005917 White-wilson Medical Center, P.a. Pediatrics 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547-6707 2007-02-01
1669410924 Charles Joseph Clancy Emergency Medicine 1005 Mar Walt Dr, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2006-06-02
1275519886 Lawrence P King Pediatrics 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547-6707 2005-12-16
1790760502 Gilberto Luis Vigo Internal Medicine 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2005-12-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255944955 Theresa Ann Morvay Behavior Technician 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 2020-08-24
1588295422 Emily Ann Glossop Nurse Practitioner 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 2020-01-29
1225669443 Elizabeth Rogers Nagengast Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 2020-01-27
1497254791 Carmen Alston Nurse Practitioner 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 2018-02-02
1871004960 Center for Neuropsychological Services Cns Clinical Neuropsychologist 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 2017-10-17
1194235648 Robin Wray Speech-Language Pathologist 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 2017-10-10
1285007989 Dynamic Pain & Wellness Pllc Pain Medicine 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 2015-11-04
1013392810 Terry Abbott Social Worker 648 Overbrook Dr, Fort Walton Beach, FL 32547 2015-07-22
1083024673 Emily Lohr Physical Therapy Assistant 2000 Principle Ln, Ft. Walton Beach, FL 32547 2014-05-05
1831526102 Laurie Ann Schweppe Nurse Practitioner 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 2013-10-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225669443 Elizabeth Rogers Nagengast Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 2020-01-27
1427525195 Katelyn Robson Physician Assistant 320 Racetrack Rd Nw Ste 100c, Fort Walton Beach, FL 32547-1796 2018-10-31
1003112715 Danielle Horton Physician Assistant 914 Mar Walt Dr Ste A, Fort Walton Beach, FL 32547-6706 2011-01-28
1003902446 Jill Virginia Ash Physician Assistant 339 Racetrack Rd, Suite 2, Fort Walton Beach, FL 32547 2006-10-05
1538271226 Katia V. Murphy-blount Physician Assistant 1032 Mar Walt Drive Suite 230, Northwest Florida Heart Institute, Fort Walton Beach, FL 32547 2006-08-31
1174517627 Michael Andrew Johnson Physician Assistant 1005 Mar Walt Dr, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 2005-09-09
1154953743 John Loftis Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547-6706 2020-02-11
1689219446 Jordan Zemis Miles Physician Assistant 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 2019-11-15
1144797366 Sara Rothe Physician Assistant 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 2018-10-25
1841765351 Mallory Hope Maddox Physician Assistant 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 2018-10-11
Find all providers in FORT WALTON BEACH

Competitor

Search similar providers

City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

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.

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