Richard W Johnson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2829 Issued in FL

Practice address

200 Southpark Blvd
Ste 208
St Augustine, FL 32086-3129

Phone

(904) 826-1900

Fax

(904) 826-1920

NPI assigned

Jun 1, 2006

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Foot and Ankle Wellness Center LLCGroup PAC ID 9537204151, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.16 of 100Reported as individual

Quality

89.4

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDEBDA/Endpoint/HDEBDA
• Direct secure messaging: rjohnson743519@direct.shands.ufl.edu

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.

• Coastal Foot & Ankle Wellness Center LLC

  • Foot & Ankle Surgery Podiatrist
  • St Augustine, FL
  • NPI 1972834760
  Medicare reassignment Care Compare group NPD Authorized official
• Health Park Podiatric Foot and Ankle Clinic, Inc

  • Podiatrist
  • St Augustine, FL
  • NPI 1932430667
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1477590248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTHPARK BLVD",
            "address_2": "STE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863129",
            "telephone_number": "904-826-1900",
            "fax_number": "904-826-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHPARK BLVD",
            "address_2": "STE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863129",
            "telephone_number": "904-826-1900",
            "fax_number": "904-826-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340246100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - DME",
            "identifier": "6326530001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Johnson
• Kerri Miranda Johnson, LM, CPM
• Lisa Ann Johnson, BA
• Marie Goretti Johnson
• Melissa Livia Devlin Johnson, LMT
• Traci Johnson, FNP-C
• Taylor Craig Johnston Jr., LCSW
• China Kapri Jolly, LMT
• Courtney Jones
• Dana Elizabeth Jones, MOT, OTR/L

• Podiatrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.