Doreen Lynn Johnson, PA-C, MPH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102545 Issued in FL

Practice address

601 N Congress Ave
Suite 113-a
Boynton Beach, FL 33426-3444

Phone

(561) 381-9979

Fax

(561) 381-9989

NPI assigned

Dec 4, 2006

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• JBS Med PA

  • Plastic Surgery Physician
  • Boca Raton, FL
  • NPI 1609164375
  Medicare reassignment
• Sussman & Staller MD PA

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1689733693
  NPD (past)
• The Doctors Center Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1053366880
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1194883199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 LAKE MONTEREY CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268443",
            "telephone_number": "954-608-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE",
            "address_2": "SUITE 113-A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263444",
            "telephone_number": "561-381-9979",
            "fax_number": "561-381-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOREEN",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John, DO
• Johnny Michel, M.D., PLLC. (Harvest SS Health)
• Victoria Denise Johnson-McDuffie, FNP-C & FNP-BC
• Andrea Johnson
• Corlina M Johnson, AGPCNP-BC, AAHIVS
• Ebonee L Johnson, ARNP
• Jessica Lauren Johnson, MD
• Kobe Johnson
• Lashaun K Johnson
• Marcy Lynn Johnson, ARNP

• Medical Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, 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 May 26, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.