Eric Scott Johnson, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS15340 Issued in FL

Practice address

201 E Sample Road
Pompano Beach, FL 33064

Phone

(954) 941-8300

NPI assigned

Mar 27, 2012

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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 SurgeryAlso: Critical Care (Intensivists)

Education

Nova Southeastern Univ College of Dental Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Delray Trauma Associates, LLCGroup PAC ID 0042457038, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Delray Trauma Associates, LLC

  • Surgery Physician
  • Delray Beach, FL
  • NPI 1013166248

  Specialist

  Medicare reassignment Care Compare group NPD
• Trauma and Critical Care Associates, LLC

  • Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1619498946
  Medicare reassignment NPD

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

• North Broward Hospital District

  dba Broward Health Lighthouse Point ER

  • General Acute Care Hospital
  • Pompano Beach, FL
  • NPI 1376571323
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health North

  • Emergency Care Clinic/Center
  • Lighthouse Point, FL
  • NPI 1720936792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1558637272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084202",
            "telephone_number": "954-491-0900",
            "fax_number": "954-491-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE ROAD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-941-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-355-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 E Commercial Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084202",
            "country_code": "US",
            "telephone_number": "954-491-0900",
            "fax_number": "954-491-1306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333081427",
            "country_code": "US",
            "telephone_number": "954-776-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS15340",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS15340",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "OS15340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Johnson McRae
• Adryanna Johnson, LMT
• Anicia Tasheena Johnson
• Ashley Johnson
• Danielle Marcia Johnson
• Erin Nicole Johnson
• Garfield Harmon Johnson, BA
• Iris Lorraine Johnson
• Jenay Johnson
• Jeri Lynn Johnson

• Surgery Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.