Active NPI
Jason Warren Johnson
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1942698519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9108170
- Practice address
- 5210 Webb Rd
Tampa, FL 33615-4518 - Phone
- (813) 882-9986
- Fax
- (813) 884-5616
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9108170 | FL | Primary |
Addresses
Primary practice location
5210 Webb Rd
Tampa, FL 33615-4518
Mailing address
5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9108170 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1942698519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 WEBB RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154518",
"telephone_number": "813-882-9986",
"fax_number": "813-884-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 WEBB RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154518",
"telephone_number": "813-882-9986",
"fax_number": "813-884-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASON",
"middle_name": "WARREN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9108170",
"primary": true
}
],
"identifiers": [],
"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 Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.