ROBERT EDWARD JOHNSON (NPI# 1609969674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609969674 |
| Entity Type | Individual |
| Full Name | ROBERT EDWARD JOHNSON |
| Credential | PA-C |
| Practice Address |
125 Sw 7th St Williston FL 32696-2403 |
| Practice Telephone | 3525282801 |
| Mailing Telephone | 3525282801 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 9102838 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
005331 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-02065 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| Street Address |
125 SW 7TH ST |
| City | WILLISTON |
| State | FL |
| Zip Code | 32696-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609972488 | John Coleman | Physician Assistant | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-16 |
| 1164928776 | Regional Health Partners LLC | Medicare Defined Swing Bed Unit | 125 Sw 7th St, Williston, FL 32696-2403 | 2018-04-03 |
| 1699199299 | Regional Health Partners LLC | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2014-02-18 |
| 1962748400 | Regional Health Partners LLC | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2013-01-02 |
| 1679819387 | Regional Health Partners LLC | General Acute Care Hospital | 125 Sw 7th St, Williston, FL 32696-2403 | 2012-12-27 |
| 1942571997 | Hart Diversified Resources, Inc. | Nurse Practitioner | 125 Sw 7th St, Williston, FL 32696-2403 | 2012-01-23 |
| 1629247259 | Cypress Health Systems Florida Inc. | Clinic/Center | 125 Sw 7th St, Williston, FL 32696-2403 | 2008-02-28 |
| 1841481116 | Cypress Health Systems Florida Inc. | Medicare Defined Swing Bed Unit | 125 Sw 7th St, Williston, FL 32696-2403 | 2007-08-05 |
| 1821208257 | Komal Lamichhane | Emergency Medicine | 125 Sw 7th St, Williston, FL 32696-2403 | 2007-05-23 |
| 1730270943 | Cypress Health Systems Florida Inc. | General Acute Care Hospital | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
| 1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
| 1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
| 1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| Find all providers in zip 32696 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619156411 | Lisa M Peterson | Physician Assistant | 1500 14th St W Ste 300, Williston, ND 58801-4079 | 2007-10-29 |
| 1528284270 | Christopher Joseph Hirsch | Physician Assistant | 111 W Noble Ave, Williston, FL 32696-2027 | 2007-04-18 |
| 1609972488 | John Coleman | Physician Assistant | 125 Sw 7th St, Williston, FL 32696-2403 | 2006-09-16 |
| 1366489122 | Johanna Hauser | Physician Assistant | 75 Talcott Rd, Suite 10, Williston, VT 05495-8121 | 2006-06-01 |
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1417572942 | Zachary Nollet | Physician Assistant | 586 Oak Hill Rd, Williston, VT 05495-7103 | 2020-06-10 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| 1588162614 | Chad R Bowen | Physician Assistant | 3 4th St E, Williston, ND 58801-5350 | 2018-01-23 |
| 1346799400 | Kynzie Oliver | Physician Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2016-09-29 |
| 1407227101 | Carley Hennessy | Physician Assistant | 1700 11th St W, Williston, ND 58801-4500 | 2015-10-07 |
| Find all providers in WILLISTON | ||||
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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.