Active NPI
William Michael Johnson, M.D.
- General Practice Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 148661
- Practice address
- 523 Cape Coral Pkwy E
Cape Coral, FL 33904-8545 - Phone
- (239) 549-2772
- Fax
- (239) 549-2332
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 38349 | KY | |
| Emergency Medicine Physician | 207P00000X | 38349 | KY | |
| General Practice Physician | 208D00000X | 148661 | FL | Primary |
Addresses
Primary practice location
523 Cape Coral Pkwy E
Cape Coral, FL 33904-8545
Mailing address
523 Cape Coral Pkwy E
Cape Coral, FL 33904-8545
Phone (239) 549-2772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200349100 | Medicaid | IN | |
| 64105422 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38349 | KY | MD | Anesthesiology Physician |
| 148661 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Alan L Tannenbaum MD PA | Current | Accepting new patients | |
| Anesthesia Services of Kentucky, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
523 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 549-2772
4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Cape Coral, FL
- NPI 1902885270
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1003866146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1508851171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 CAPE CORAL PKWY E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339048545",
"telephone_number": "239-549-2772",
"fax_number": "239-549-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 CAPE CORAL PKWY E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339048545",
"telephone_number": "239-549-2772",
"fax_number": "239-549-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "38349",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "38349",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "148661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200349100",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64105422",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.