Gennett Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 47316 Issued in FL

Legal business name

GENNETT JOHNSON, MD

Practice address

9068 Great Heron Cir
Orlando, FL 32836-5483

Phone

(407) 616-0239

Fax

(407) 876-2869

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gennett Johnson, MD

Title

Physician

Phone

(407) 616-0239

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1669527727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22948",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328302948",
            "telephone_number": "407-616-0239",
            "fax_number": "407-876-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9068 GREAT HERON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365483",
            "telephone_number": "407-616-0239",
            "fax_number": "407-876-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNETT JOHNSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GENNETT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-616-0239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 47316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061741500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.