DR. RICHARD W JOHNSON (NPI# 1477590248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477590248 |
| Entity Type | Individual |
| Full Name | DR. RICHARD W JOHNSON |
| Credential | DPM |
| Practice Address |
200 Southpark Blvd Ste 208 St Augustine FL 32086-3129 |
| Practice Telephone | 9048261900 |
| Practice Fax Number | 9048261920 |
| Mailing Telephone | 9048261900 |
| Mailing Fax Number | 9048261920 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2829 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340246100 | 05 | |
| FL | MEDICARE - DME | 6326530001 | 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 |
200 SOUTHPARK BLVD STE 208 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293982 | Medfund LLC | Clinic/Center | 200 Southpark Blvd, Ste 210, St Augustine, FL 32086-3101 | 2005-05-23 |
| 1124680996 | Julie Marie Jabour | Speech-Language Pathologist | 200 Southpark Blvd, St Augustine, FL 32086-3129 | 2019-07-02 |
| 1235790684 | Kayla Kathleen Evans | Speech-Language Pathologist | 200 Southpark Blvd, St Augustine, FL 32086-3129 | 2019-06-26 |
| 1972834760 | Coastal Foot & Ankle Wellness Center LLC | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2010-01-19 |
| 1124266010 | A1 Imaging of St Augustine LLC | Clinic/Center | 200 Southpark Blvd, Ste 210, St Augustine, FL 32086-3101 | 2009-01-30 |
| 1265691208 | A1 Imaging of St Augustine | Clinic/Center | 200 Southpark Blvd, Suite 210, St Augustine, FL 32086-3101 | 2008-06-05 |
| 1992742142 | Jose M Concha | Podiatrist | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646757 | Flagler Family Medicine P A | Podiatrist | 52 Tuscan Way Ste 205, St Augustine, FL 32092-1850 | 2018-07-20 |
| 1891178406 | John Randall Northrup | Podiatrist | 1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024 | 2015-06-30 |
| 1306032586 | Podiatry Associates of Florida Inc | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2007-09-20 |
| 1184659484 | Victoria Jean Camp | Podiatrist | 1093 A1a Beach Blvd, Pmb 235, St Augustine, FL 32080-6733 | 2006-07-12 |
| 1275570897 | Jerry L Weed Jr. | Podiatrist | 3700 Us 1 S, St Augustine, FL 32086-7150 | 2006-06-01 |
| 1245277417 | John M Burns | Podiatrist | 1975 Old Moultrie Rd, St Augustine, FL 32086-5164 | 2006-05-31 |
| 1710987805 | Brett Cutler | Podiatrist | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-4162 | 2005-07-29 |
| 1154793339 | George S Tellam | Podiatrist | 309 Kingsley Lake Dr, # 901, St Augustine, FL 32092-3047 | 2015-10-27 |
| 1932430667 | Health Park Podiatric Foot and Ankle Clinic, Inc | Podiatrist | 1975 Old Moultrie Rd, St Augustine, FL 32086-5164 | 2010-01-20 |
| 1114164456 | D.s.miles Dpm, Pa | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2009-01-08 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on DR. RICHARD W JOHNSON.
| 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.