DOUGLAS WILLIAM JOHNSON (NPI# 1497712384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497712384 |
| Entity Type | Individual |
| Full Name | DOUGLAS WILLIAM JOHNSON |
| Credential | M.D. |
| Practice Address |
7015 A C Skinner Pkwy Bldg 100 Jacksonville FL 32256-6932 |
| Mailing Address |
Po Box 19675 Jacksonville FL 32245-9675 |
| Practice Telephone | 9045163737 |
| Practice Fax Number | 9045163738 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME43406 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 03911 | 01 |
| FL | 046276400 | 05 | |
| GA | 853120709A | 05 | |
| FL | MEDICARE PTAN | AJ038S | 01 |
| FL | MEDICARE RAILROAD | P00191285 | 01 |
| FL | AVMED | 040225 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1235 San Marco Blvd, Suite 100, Jacksonville, FL 322078554 | 9042027020 | 9042027029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
| 1447571260 | Douglas Earl Johnson Sr. | Counselor | 334 Old Thomas Rd, Watha, NC 28478-9538 | 2010-06-16 |
| 1558528505 | Douglas D. Johnson | Dentist | 1310 Tara Hills Dr Ste G, Pinole, CA 94564-2533 | 2008-05-19 |
| 1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
| 1356556880 | Douglas M Johnson | Dentist | 2380 14th Ave Se, Albany, OR 97322-6800 | 2007-05-10 |
| 1205950052 | Douglas Scott Johnson | Chiropractor | 3365 N. Academy Blvd., Colorado Springs, CO 80917 | 2007-03-19 |
| 1225163843 | Douglas Harold Johnson | Dentist | 275 Pendleton Way, Washougal, WA 98671-4203 | 2007-02-22 |
| 1033255328 | Douglas Arthur Johnson | Speech-Language Pathologist | 500 North Navajo, Box 1927, Page, AZ 86040 | 2007-01-30 |
| 1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
| 1417055971 | Douglas R Johnson | Counselor | 1750 Pine Ave, Niagara Falls, NY 14301-2232 | 2006-09-20 |
| Street Address |
7015 A C SKINNER PKWY BLDG 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245296904 | Ahmed M Akl | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-21 |
| 1730671488 | Ashley N Harris | Nurse Practitioner | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2018-05-30 |
| 1336654417 | Valisa Charmaine Owens | Social Worker | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2017-12-11 |
| 1790209294 | Dawn Michelle Wiggins | Social Worker | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2017-07-27 |
| 1427391861 | Richard John Cassidy IIi | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2013-04-04 |
| 1871695700 | Stella M Ling | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-09-01 |
| 1689631418 | Sonja L Schoeppel | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-26 |
| 1043276231 | Abhijit Vinod Deshmukh | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033544390 | Florida Physician Specialists LLC | Radiology | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2013-09-05 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1275791055 | Bradford Scott Hoppe | Radiology | 4500 San Pablo Rd, Jacksonville, FL 32224 | 2008-05-28 |
| 1023282456 | Jacksonville Radiation Therapy Services LLC | Radiology | 7751 Baymeadows Road E, Jacksonville, FL 32256 | 2008-04-16 |
| 1033213038 | Jacksonville Oncology Institute Limited | Radiology | 567 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-09-11 |
| 1689630949 | Mark Emerson Augspurger | Radiology | 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 | 2006-04-25 |
| 1245296904 | Ahmed M Akl | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-21 |
| 1649231291 | Randal Hollis Henderson | Radiology | 2015 N. Jefferson St., Jacksonville, FL 32206 | 2006-03-31 |
| 1679555270 | Romaine Charles Nichols Jr. | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2005-11-18 |
| 1972508299 | Paul B Ossi | Radiology | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 | 2005-06-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on DOUGLAS WILLIAM 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.