Keyne K Johnson, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME102412 Issued in FL

Practice address

201 N Lakemont Ave Ste 500
Winter Park, FL 32792-3200

Phone

(407) 255-2152

Fax

(407) 246-8395

NPI assigned

Jul 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

NeurosurgeryAlso: Pediatric Medicine

Education

University of Pittsburgh School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brain and Spine Institute for Children LLC

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1821339144
  Medicare reassignment Authorized official
• Firsthealth of the Carolinas, Inc.

  • Rural Health Clinic/Center
  • Troy, NC
  • NPI 1548276389
  Medicare reassignment NPD
• Brain and Spine Instate for Children

  • Preferred Provider Organization
  • Orlando, FL
  • NPI 1104166735
  NPD Authorized official
• Firsthealth of the Carolinas Inc

  • Neurological Surgery Physician
  • Pinehurst, NC
  • NPI 1255591566
  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• Mission Hospitals Inc

  • Medical Oncology Physician
  • Asheville, NC
  • NPI 1548532021
  NPD
• Clermont Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Clermont, FL
  • NPI 1578508875
  NPD (past)
• Orlando Health Inc

  • Pediatric Anesthesiology Physician
  • Orlando, FL
  • NPI 1457489767
  NPD (past)
• Orlando Health Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1487691259
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1053577015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE STE 500",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923200",
            "telephone_number": "407-255-2152",
            "fax_number": "407-246-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE STE 500",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923200",
            "telephone_number": "407-255-2152",
            "fax_number": "407-246-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEYNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME102412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Alexander Johnson Jr., AA
• Crystal Johnson, MD
• Curtis Johnson, M.ED.
• David Christian Johnson, PHARM D
• Kevin E. Johnson, M.D.
• Mary Joy Leoncito Johnson, M.A.
• Matthew David Johnson, A.P.
• Michael W Johnson, R.PH
• Robin Janee Johnson, M.S.
• Sharika S. Johnson, PRE LICENSED PROF

• Neurological Surgery Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.