Dean L. Johnston, MD., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0037508 Issued in FL

Legal business name

DEAN L. JOHNSTON, MD., INC

Practice address

4106 W Lake Mary Blvd Ste 212
Lake Mary, FL 32746-3344

Phone

(407) 333-2525

Fax

(407) 333-9583

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dean L Johnston, MD

Title

President

Phone

(407) 333-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dean L. Johnston, MD. P.A. Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey L Fitzgerald, PA-C

  • Physician Assistant
  • Lake Mary, FL
  • NPI 1568915791
  NPD (past)
• Edgar Sosa, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Vero Beach, FL
  • NPI 1699938472

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1144520834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 212",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463344",
            "telephone_number": "407-333-2525",
            "fax_number": "407-333-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 212",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463344",
            "telephone_number": "407-333-2525",
            "fax_number": "407-333-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN L. JOHNSTON, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-333-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0037508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045599700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dean L. Johnston, MD. P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jan Manuel De Camps Antonio, M.D.
• Danielle Brooke De Gaetano
• Jennifer Lynn De la Fuente
• Mara De la Vega, MD
• Melissa Bailey De Reyna, PHARM D
• Dean M Edwards DPT Inc
• Cassie Dean, RBT
• Nathan Christopher Deangelis, D.O.
• Lynwood Debrew
• Luciana Decamargo

• Specialist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.