Eve Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104149 Issued in FL

Practice address

400 Avenue K SE
Suite 11
Winter Haven, FL 33880-4146

Phone

(863) 294-4404

Fax

(863) 294-4404

NPI assigned

Sep 29, 2005

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

Not listed in the public Medicare enrollment file

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.

• West Virginia Em-I Medical Services

  • Emergency Medicine Physician
  • Summersville, WV
  • NPI 1598148553
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1417944000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE 11",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-294-4404",
            "fax_number": "863-294-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE 11",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804146",
            "telephone_number": "863-294-4404",
            "fax_number": "863-294-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EVE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juny Mariam John
• Teshy John, M.D.
• Yeshaila John
• Miranda Harris Johns, LMHC
• Bernice A Johnson, D.C.
• Faith E Johnson, ARNP-C
• Gary R Johnson, MD
• Heather Dawn Johnson, OTR/L
• Henry D Johnson
• Jade Johnson, PTA

• Medical Physician Assistant in Winter Haven, FL
• Providers in Winter Haven, 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 14, 2008; 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.