Active NPI
Carolyn Elizabeth Johnstone, M.D.
- Emergency Medicine Physician
- New Port Richey, FL
National Provider Identifier
1750601035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME 116380
- Practice address
- 9330 State Road 54
New Port Richey, FL 34655-1808 - Phone
- (727) 834-4000
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 116380 | FL | Primary |
Addresses
Primary practice location
9330 State Road 54
New Port Richey, FL 34655-1808
Mailing address
18167 US 19 N
Clearwater, FL 33764-3528
Phone (727) 507-3600
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 116380 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thse - Marco Urgent Care LLC | Current | Accepting new patients | |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Baxley Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1538118484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1750601035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18167 US 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643528",
"telephone_number": "727-507-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 STATE ROAD 54",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346551808",
"telephone_number": "727-834-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTONE",
"first_name": "CAROLYN",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 116380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.