Richard Johnson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME40905 Issued in FL

Practice address

5333 N Dixie Hwy Ste 201
Oakland Park, FL 33334-3454

Phone

(954) 563-9876

NPI assigned

Dec 7, 2018

Last updated

Dec 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1902377617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PORT SIDE DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163008",
            "telephone_number": "954-649-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY STE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343454",
            "telephone_number": "954-563-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME40905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Hartts Physical Therapy and Sports Training Center Inc
• D Jonson JN Baptiste
• Rashida Natacha Joemmankhan, P.A.-C.
• John Michael Thomassen MD PA
• Carol Johnson, TT
• John R. Jones, M.D.
• Sara Jones, LCSW
• Stefanie Jorenby, LMHC,MCAP,LPC,CSAC
• Jorge Barrero MD PA
• Aniyamma Joseph, DNP, FNP-BC

• Dermatology Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.