Dr. Christopher W. Johnson, D.P.M., PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PO2947 Issued in FL

Legal business name

DR. CHRISTOPHER W. JOHNSON, D.P.M., PA

Doing business as

Podiatry Home Care, Inc.

Practice address

5640 Farragut St
Hollywood, FL 33021-2721

Phone

(954) 986-1090

Fax

(954) 894-9093

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christopher W. Johnson, D.P.M.

Title

Direct Owner

Phone

(954) 986-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Podiatry Home Care, Inc. Doing business as

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356511430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 FARRAGUT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212721",
            "telephone_number": "954-986-1090",
            "fax_number": "954-894-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 FARRAGUT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212721",
            "telephone_number": "954-986-1090",
            "fax_number": "954-894-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHRISTOPHER W. JOHNSON, D.P.M., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "954-986-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO2947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043383037",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Home Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.