Charles Johnson II MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME61312 Issued in FL

Legal business name

CHARLES JOHNSON II MD PA

Practice address

4601 Washington St
Hollywood, FL 33021-7647

Phone

(954) 424-1873

Fax

(954) 200-7814

NPI assigned

Aug 7, 2008

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Johnson II, MDNPI 1750592978

Title

Owner / Medical Doctor

Phone

(954) 424-1873

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Johnson II, M D

  • Diagnostic Radiology Physician
  • Hollywood, FL
  • NPI 1750592978
  Authorized official Same address or phone

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1578719738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217647",
            "telephone_number": "954-424-1873",
            "fax_number": "954-200-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217647",
            "telephone_number": "954-424-1873",
            "fax_number": "954-200-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES JOHNSON II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER / MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-424-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME61312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269541300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Jared Chang, M.D.
• Yatyng Chang
• Stephen B. Channey, MD
• Melissa Lee Chapman-Leccesse, PA-C
• Mijan Amber Dru Chapman
• Charles Kahn and Wayne Riskin M D S P a
• Charles S. Mandell, D.D.S.,PA
• Abbdady Charles, APRN
• Ericka Charles
• Ralph William Charlton, MD MAS

• Diagnostic Radiology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.