Active NPI
Philip Nathaniel Johnson, M.D.
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME66825
- Practice address
- 2701 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6303 - Phone
- (813) 738-6690
- Fax
- (813) 816-0326
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME66825 | FL | Primary |
Addresses
Primary practice location
2701 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6303
Mailing address
2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133
Other practice location 1
2135 SW 19th Avenue Rd Ste 103
Ocala, FL 34471-7877
Phone (352) 237-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379110600 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Utah School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
8702 Hunters Lake Dr
Suite 100
Tampa, FL 33647-2855
Phone (813) 467-4700
Hospital & facility affiliations
- Adventhealth Tampa
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.76 of 100
- Quality
- 82.62
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 79.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME66825 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| North Florida Urology Associates Inc | Past | Accepting new patients | |
| Solace Anesthesia, LLC | Past | Accepting new patients |
Locations
9401 SW Highway 200
Ste 501
Ocala, FL 34481
Phone (352) 369-0027
2701 W Mlk Blvd
Tampa, FL 33607
Phone (813) 738-6690
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- pjohnson624363@adventhealth.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Urology Physician
- Ocala, FL
- NPI 1215117528
-
- Certified Registered Nurse Anesthetist
- Oxford, FL
- NPI 1962046151
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1811913866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 SW 19TH AVENUE RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344711391",
"telephone_number": "352-237-4133",
"fax_number": "352-237-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076303",
"telephone_number": "813-738-6690",
"fax_number": "813-816-0326"
}
],
"practiceLocations": [
{
"address_1": "2135 SW 19th Avenue Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344717877",
"country_code": "US",
"telephone_number": "352-237-4133",
"fax_number": "352-237-7728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "PHILIP",
"middle_name": "NATHANIEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME66825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379110600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.