Ian Todd Johnson MD LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME108492 Issued in FL

Legal business name

IAN TODD JOHNSON MD LLC

Practice address

4848 Coconut Creek Pkwy
200
Coconut Creek, FL 33063-3904

Phone

(954) 764-6116

Fax

(954) 764-6119

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ian Todd Johnson, MD

Title

Principal

Phone

(561) 495-0087

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1861769218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-844-0120",
            "fax_number": "561-800-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 COCONUT CREEK PKWY",
            "address_2": "200",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633904",
            "telephone_number": "954-764-6116",
            "fax_number": "954-764-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN TODD JOHNSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "561-495-0087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME108492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Holmes
• Home Care Services of South Florida
• Homewood Home Health,LLC
• Roxanne Y Hosford-Ragland, LMT
• Manon Bourque Hutchison, DDS
• Blanca Rosa Ibarra
• Idental of Coconut Creek, PLLC
• Img Helps Inc
• Vanessa De Oliveira Inacio, M.D.
• Independent Medical Group, LLC.

• Neurological Surgery Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.