Active NPI
Jean H. Johnson, MD
- Anesthesiology Physician
- Plantation, FL
National Provider Identifier
1407824931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME68883
- Practice address
- 301 NW 82ND Ave
Plantation, FL 33324-1811 - Phone
- (954) 370-1053
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME68883 | FL | Primary |
Addresses
Primary practice location
301 NW 82ND Ave
Plantation, FL 33324-1811
Mailing address
PO Box 17347
Plantation, FL 33318-7347
Phone (954) 424-7166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378624200 | Medicaid | FL | |
| P00752922 | Other | FL | MEDICARE RAILROAD |
Other names 1
- Jean Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68883 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Beach Anesthesiology Associates Inc | Anesthesiology | Past | Accepting new patients |
| Millennium Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Miami Beach, FL
- NPI 1639150071
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1407824931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17347",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333187347",
"telephone_number": "954-424-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NW 82ND AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241811",
"telephone_number": "954-370-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEAN",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME68883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378624200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00752922",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "HARRIS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.