Harry F Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9104154 Issued in FL

Practice address

550 Twin Cities Blvd
Suite a
Niceville, FL 32578-1067

Phone

(850) 729-1444

Fax

(850) 729-0300

NPI assigned

Jun 8, 2006

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Kapil Puri MD P a

  • Urology Physician
  • Niceville, FL
  • NPI 1962672337
  NPD (past)
• Mark S. Calkins, MD, PA.

  • Orthopaedic Surgery Physician
  • Niceville, FL
  • NPI 1922031509
  NPD (past)
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1144260746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TWIN CITIES BLVD",
            "address_2": "SUITE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781067",
            "telephone_number": "850-729-1444",
            "fax_number": "850-729-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TWIN CITIES BLVD",
            "address_2": "SUITE A",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781067",
            "telephone_number": "850-729-1444",
            "fax_number": "850-729-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HARRY",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "565",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9104154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jean, PSY.D.
• Sarah Jensen
• Amy Fetters Jimenez, IBCLC
• Lauren Jobson
• Joe Palmer Chiropractic LLC.
• Jordan Lynne Johnson
• Katherine Jones Roman
• Jenna Jones
• Taryn Celeste Jones, LCSW
• Lisa M Judge, M D

• Medical Physician Assistant in Niceville, FL
• Providers in Niceville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.