DR. CHARLES ROBERT JOHNSON (NPI# 1992999122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992999122 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT JOHNSON |
| Credential | D.O. |
| Practice Address |
1601 Clint Moore Rd 155 Boca Raton FL 33487-2768 |
| Mailing Address |
1601 Clint Moore Rd Suite Number 155 Boca Raton FL 33487-2768 |
| Practice Telephone | 5613380700 |
| Practice Fax Number | 5613629960 |
| Mailing Telephone | 5613380700 |
| Mailing Fax Number | 5613629960 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS0004672 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
1601 CLINT MOORE RD 155 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538944 | Jeremy S Breit | Internal Medicine | 1601 Clint Moore Rd, Suite 100, Boca Raton, FL 33487-2768 | 2005-06-17 |
| 1952876070 | Leslie Aston Wattkis | Nurse Practitioner | 1601 Clint Moore Rd, Boca Raton, FL 33487-2768 | 2018-10-04 |
| 1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
| 1912456963 | Internal Medicine Associates Snf LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 200-2, Boca Raton, FL 33487-2768 | 2016-09-30 |
| 1710336797 | Docs On Call LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 115 B, Boca Raton, FL 33487-2768 | 2016-06-09 |
| 1891156857 | Ashley Bowles | Podiatrist | 1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768 | 2016-03-17 |
| 1912378829 | Gila R Weinstein Md LLC | Plastic Surgery | 1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768 | 2015-10-19 |
| 1932578879 | 21st Century Oncology LLC | Pathology | 1601 Clint Moore Rd, Suite 180, Boca Raton, FL 33487-2768 | 2015-09-22 |
| 1770951055 | 21st Century Oncology LLC | Urology | 1601 Clint Moore Rd, Suite 195, Boca Raton, FL 33487-2768 | 2015-09-03 |
| 1962886408 | Lindsey Martin | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1942823711 | Hope Medical Pa | Internal Medicine | 11419 W Palmetto Park Rd, Unit 97081, Boca Raton, FL 33497-2501 | 2020-05-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1033644182 | Royal Family Medicine Inc | Internal Medicine | 3886 Candlewood Blvd, Boca Raton, FL 33487-1261 | 2017-04-26 |
| 1144777954 | Acts Signature Community Services, Inc. | Internal Medicine | 6152 North Verde Trail, Boca Raton, FL 33433-2430 | 2016-09-09 |
| 1801343827 | Mwh Medical Consulting, LLC | Internal Medicine | 804 Bridgewood Pl, Boca Raton, FL 33434-4157 | 2016-09-07 |
| 1174978308 | Mdvip Medical Group Ct LLC | Internal Medicine | 4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307 | 2016-04-25 |
| 1437512159 | Areeba Awan | Internal Medicine | 670 Glades Road, Suite 400, Florida Atlantic University Medicine At Boca Raton, Boca Raton, FL 33431-5035 | 2016-03-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
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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.