Organization Active NPI

Michele Johnson-Towson MD PA

Doing business as Pediatric Place of Tampa

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1033492236
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME62751 Issued in FL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michele Johnson-Towson, MDNPI 1659431484
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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2061537Pediatric Place of Tampa1338 W Fletcher Ave, Tampa, FL 33612Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.