Johnson Otong, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1650 Issued in FL

Practice address

6703 38TH Ave N
St Petersburg, FL 33710-1536

Phone

(727) 213-5377

Fax

(727) 828-9639

NPI assigned

Mar 25, 2014

Last updated

Oct 27, 2025By the provider in NPPES

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

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: johnson.otong.1@31126.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hernando Pasco Primary Care LLC

  dba MyCare Medical

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1245273093
  Medicare reassignment Care Compare group
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD
• Mycare Medical of Texas, PLLC

  • Internal Medicine Physician
  • La Feria, TX
  • NPI 1689314189

  General Practice

  NPD
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595
  NPD (past)
• Independant Ipa,LLC

  • Specialist
  • Hudson, FL
  • NPI 1720415474
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1477970713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-213-5377",
            "fax_number": "727-828-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTONG",
        "first_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnson.otong@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6703 38th Ave N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337101536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna M Oswandel, CNM
• Maria Victoria Otano, MD
• Lileean Marie Othmer
• Shayna Otis, MD
• Oto-Logic Support Services, Inc
• Katherine Claire Ottinger, APRN, ACNPC-AG, MSN
• Chelsea Ouellette
• Our Hearts Home Care & Staffing LLC (Our Hearts Home Care)
• Our Lives Matter Home Care LLC
• Our Mosaic LLC (Our Mosaic Therapy)

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.