Mark David Johnson, HSA

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS2511 Issued in FL

Practice address

1008 Willa Springs Dr
Ste 110
Winter Springs, FL 32708-5205

Phone

(407) 637-5891

Fax

(407) 636-6205

NPI assigned

Dec 14, 2012

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Thrive Enterprises, Inc

  • Hearing Aid Equipment
  • Winter Springs, FL
  • NPI 1699903369
  NPD (past) Authorized official
• My Hearing Centers Holding Inc.

  • Hearing Aid Equipment
  • Winter Springs, FL
  • NPI 1154143105

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1295071579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WILLA SPRINGS DR",
            "address_2": "STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085205",
            "telephone_number": "407-637-5891",
            "fax_number": "407-636-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WILLA SPRINGS DR",
            "address_2": "STE 110",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085205",
            "telephone_number": "407-637-5891",
            "fax_number": "407-636-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6044 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094283",
            "country_code": "US",
            "telephone_number": "407-855-9799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11905 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328264725",
            "country_code": "US",
            "telephone_number": "407-668-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "HSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J8194",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2559432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John H. T. Nguyen, DMD, PA
• Ruthie B. Johns, M.S., CCC-SLP
• Christine Riselay Johnson, L.M.T.
• Joseph Patrick Johnson, M.D.
• Kelli Renee Johnson, CPM, LM, EMT
• Monica Johnson
• Aissa Jones, PHARMD
• Elexis Jones
• Melissa Anne Jones, M.A.,CCC-SLP
• William E Jones Jr., M.D.

• Hearing Instrument Specialist in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.