Paul M. Johnson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN 254416 NA-06872 Issued in OH

Practice address

1800 NW 10TH Ave Ste T-215
Army Trauma Training Center, Ryder Trauma Center
Miami, FL 33136-1018

Phone

(912) 585-1408

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1497757314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 SW 113TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734239",
            "telephone_number": "912-980-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 10TH AVE STE T-215",
            "address_2": "ARMY TRAUMA TRAINING CENTER, RYDER TRAUMA CENTER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361018",
            "telephone_number": "912-585-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN 254416 NA-06872",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN174836 CRNA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lee Johnson
• Makayla Johnson, PT, DPT
• Marcia Maria Johnson, AGPCNP, MSN, RN, OCN
• Marilyn Elizabeth Johnson, P.T.A.
• Mel Paul Johnson, PSYDR, RN, ARNP
• Penelope Johnson, BCBA
• Perry Barnett Johnson, PHD
• Phyllis Michelle Johnson
• Rakeya L Johnson
• Robert Bruce Johnson, DDS

• Certified Registered Nurse Anesthetist in Miami, FL
• Providers in Miami, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.