Individual provider Active NPI

Christopher Johnson, DO

  • Emergency Medicine Physician
  • Hollywood, FL
National Provider Identifier
1407878838
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS9235 Issued in FL
Practice address
300 South Park Road
Suite 400
Hollywood, FL 33021
Phone
(954) 861-6383
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9235 FL Primary

Addresses

Primary practice location

300 South Park Road
Suite 400
Hollywood, FL 33021

Mailing address

300 S Park Rd
Schumacher Clinical Partners
Hollywood, FL 33021-8593

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson160741@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041102000397 FL Practitioner - Emergency Medicine 2365404365 Reassigns benefits to 4 organizations
I20151110002230 AL Practitioner - Emergency Medicine 2365404365 Reassigns benefits to 2 organizations
I20200312001853 WV Practitioner - Emergency Medicine 2365404365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS9235FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine Current Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Sep 6, 2015 Accepting new patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 26, 2017 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Jan 5, 2020 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Jul 11, 2020 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Sep 6, 2015 Accepting new patients
West Virginia University Hospitals, Inc Emergency Medicine CurrentSince Jan 5, 2020 Accepting new patients
Sterling Emergency Services of Florida PA Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Melbourne Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Dolphin Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

300 S Park Rd
Ste 400
Hollywood, FL 33021
Phone (954) 265-7450

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1407878838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK RD",
            "address_2": "SCHUMACHER CLINICAL PARTNERS",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH PARK ROAD",
            "address_2": "SUITE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-861-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson160741@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.