Peter Mathew Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101236742 Issued in VA

Practice address

1636 Regulus Ave
Comnavspecwardevgru
Virginia Beach, VA 23461-2200

Phone

(757) 893-2026

Fax

(757) 492-8409

NPI assigned

Jul 13, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1093914673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "address_2": "COMNAVSPECWARDEVGRU",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612200",
            "telephone_number": "757-893-2026",
            "fax_number": "757-492-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 REGULUS AVE",
            "address_2": "COMNAVSPECWARDEVGRU",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234612200",
            "telephone_number": "757-893-2026",
            "fax_number": "757-492-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETER",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Lynn Johnson, D.M.D.
• Markayla Johnson
• Mary A Johnson
• Megan K Johnson, LCSW
• Melthres Johnson, RN
• Phylicia Johnson
• Priscilla M Johnson, DDS
• Rachel Johnson, PT, DPT
• Rene' Johnson, CMT, LMT, MMP
• Robert Albert Johnson, M.D.

• Family Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.