Individual provider Active NPI

Seth T Johnson, DO

  • Family Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1497726608
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005330 Issued in FL
Practice address
411 Maitland Ave
Suite 1002
Altamonte Springs, FL 32701-5448
Phone
(321) 207-0002
Fax
(321) 207-0003
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0005330 FL Primary

Addresses

Primary practice location

411 Maitland Ave
Suite 1002
Altamonte Springs, FL 32701-5448

Mailing address

411 Maitland Ave
Suite 1002
Altamonte Springs, FL 32701-5448
Phone (321) 207-0002

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080707000352 FL Practitioner - Family Practice 0143392217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

411 Maitland Ave
Suite 1002
Altamonte Springs, FL 32701-5448
Phone (321) 207-0002

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0005330FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maitland Avenue Urgent Care PA CurrentSince Feb 21, 2008 Accepting new patients

Locations

411 Maitland Ave
Ste 1002
Altamonte Springs, FL 32701
Phone (321) 207-0002

Interoperability endpoints

  • Direct secure messaging: stj102pcs@m1575.primeclinicalsystems.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1497726608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAITLAND AVE",
            "address_2": "SUITE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015448",
            "telephone_number": "321-207-0002",
            "fax_number": "321-207-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAITLAND AVE",
            "address_2": "SUITE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015448",
            "telephone_number": "321-207-0002",
            "fax_number": "321-207-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SETH",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.