Active NPI
Michele Johnson-Towson MD PA
Doing business as Pediatric Place of Tampa
- Pediatrics Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME62751
- Legal business name
- MICHELE JOHNSON-TOWSON MD PA
- Doing business as
- Pediatric Place of Tampa
- Practice address
- 1338 W Fletcher Ave
Tampa, FL 33612-3366 - Phone
- (813) 264-2288
- Fax
- (813) 264-1677
- NPI assigned
- Sep 23, 2011
- Last updated
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michele Johnson-Towson, MD
- Title
- Owner
- Phone
- (813) 264-2288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME62751 | FL | Primary |
Addresses
Primary practice location
1338 W Fletcher Ave
Tampa, FL 33612-3366
Mailing address
1338 W Fletcher Ave
Tampa, FL 33612-3366
Phone (813) 264-2288
Other names 1
- Pediatric Place of Tampa
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2061537 | Pediatric Place of Tampa | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Tampa, FL
- NPI 1659431484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1033492236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 W FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336123366",
"telephone_number": "813-264-2288",
"fax_number": "813-264-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 W FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336123366",
"telephone_number": "813-264-2288",
"fax_number": "813-264-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE JOHNSON-TOWSON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "JOHNSON-TOWSON",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-264-2288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME62751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Place of Tampa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.