DR. DEAN LIVINGSTON JOHNSTON (NPI# 1598772154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598772154 |
| Entity Type | Individual |
| Full Name | DR. DEAN LIVINGSTON JOHNSTON |
| Other Name | DR. DEAN L. JOHNSTON |
| Credential | M.D. |
| Practice Address |
4106 W Lake Mary Blvd #212 Lake Mary FL 32746-3315 |
| Mailing Address |
4106 W. Lake Mary Blvd #212 Lake Mary FL 32746-3344 |
| Practice Telephone | 4073332525 |
| Practice Fax Number | 4073339583 |
| Mailing Telephone | 4073332525 |
| Mailing Fax Number | 4073339583 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0037508 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 045599700 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 02565 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075378 | Dean Patrick Johnston | Behavior Technician | 917 3rd St, Eureka, CA 95501-0513 | 2019-10-21 |
| Street Address |
4106 W LAKE MARY BLVD #212 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979554 | Christopher C Mason | Podiatrist | 4106 W Lake Mary Blvd, 125, Lake Mary, FL 32746-3315 | 2005-08-18 |
| 1609346378 | Nicole Rodriguez | Nurse Practitioner | 4106 W Lake Mary Blvd, Lake Mary, FL 32746-3315 | 2018-11-26 |
| 1659681575 | Vikram P Mehta Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 224, Lake Mary, FL 32746-3315 | 2010-10-13 |
| 1194044107 | Christopher C. Mason, D.p.m., Pa | Durable Medical Equipment & Medical Supplies | 4106 W Lake Mary Blvd, Suite 125, Lake Mary, FL 32746-3315 | 2010-06-01 |
| 1063651131 | Nathan Christopher Deangelis | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2009-02-13 |
| 1487801957 | Creighton D Fiscina | Surgery | 4106 W Lake Mary Blvd, Suite 330, Lake Mary, FL 32746-3315 | 2008-08-26 |
| 1043480700 | Vein Help of Orlando | Phlebology | 4106 W Lake Mary Blvd, Ste 324, Lake Mary, FL 32746-3315 | 2008-03-09 |
| 1033387865 | Heathrow Internal Medicine LLC | Internal Medicine | 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746-3315 | 2008-02-14 |
| 1396921995 | Vein Associates, P.a. | Phlebology | 4106 W Lake Mary Blvd, Suite 325, Lake Mary, FL 32746-3315 | 2008-01-14 |
| 1780870071 | Robin Rahm Md Pa | Surgery | 4106 W Lake Mary Blvd, Suite 213, Lake Mary, FL 32746-3315 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073861472 | Saylor Physical Therapy of Lake Mary LLC | Specialist | 925 Williston Park Pt Ste 1001, Lake Mary, FL 32746-2114 | 2012-08-16 |
| 1912278284 | Elaine Thilo | Specialist | 400 Timberwalk Ln, Lake Mary, FL 32746-4027 | 2012-01-19 |
| 1205038569 | A H Vs LLC | Specialist | 801 International Pkwy, 6th Floor, Lake Mary, FL 32746-4762 | 2007-05-31 |
| 1285788083 | Optimum Rehab, Inc. | Specialist | 145 Middle St, Suite 1101, Lake Mary, FL 32746-3594 | 2007-01-22 |
| 1235288135 | Gia Lloyd Giles | Specialist | 1325 S International Pkwy Ste 1221, Lake Mary, FL 32746-1406 | 2007-01-09 |
| 1689732091 | Roger Wade Nash | Specialist | 165 Waymont Court, Lake Mary, FL 32746 | 2006-12-05 |
| 1912929043 | Edward John Gross | Specialist | 1035 Primera Blvd., Lake Mary, FL 32746-2193 | 2006-07-25 |
| 1265454425 | Cyrus Diagnostic Imaging Inc | Specialist | 165 Waymont Ct, Lake Mary, FL 32746 | 2006-07-24 |
| 1265427793 | Lilian Therezinha Alevato | Specialist | 525 Technology Park Ste 109, Lake Mary, FL 32746-7107 | 2005-09-12 |
| 1942293022 | Florida Psychiatric Consultants Pa | Specialist | 1301 S International Parkway, Suite 2021, Lake Mary, FL 32746-1411 | 2005-08-24 |
| Find all providers in LAKE MARY | ||||
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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.