Johnson Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME45622 Issued in FL

Legal business name

JOHNSON MEDICAL CENTER

Practice address

6517 Taft Street
Hollywood, FL 33024-4048

Phone

(954) 962-5300

Fax

(954) 962-0100

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose Edgardo Blandon, MD

Title

Physician

Phone

(954) 962-5300

Specialties & licenses 1

Addresses

Other names 1

• Jose E Blandon Former legal business name

Tax ID family

Johnson Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson Medical Center

  • General Practice Physician
  • Hollywood, FL
  • NPI 1649334459
  NPD tax ID

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518018571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 TAFT STREET",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244048",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT STREET",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244048",
            "telephone_number": "954-962-5300",
            "fax_number": "954-962-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANDON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "EDGARDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-962-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME45622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jose E Blandon",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John V. Maurer Inc.
• Archana John, APRN
• Sheril Mary John, ARNP
• Johnson Diagnostic Center Inc
• Johnson Excellent Services Corp
• Johnson Medical Center
• Johnson Medical Center Corp
• Melinda Johnson-Beckford
• Carol Christine Johnson, FNP-BC
• Charles Johnson II, M D

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, 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 Aug 22, 2020; 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.