Richard W Johnson in St Augustine - Podiatrist
Richard W Johnson - NPI 1477590248
Richard W Johnson is a Podiatrist in St Augustine, Florida. Richard W Johnson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Richard W Johnson is 1477590248. The last update date is 2010-04-06.
Richard W Johnson's current location address is 200 Southpark Blvd, St Augustine, Florida. You can contact this provider via phone number 9048261900 and fax number 9048261920. The mailing address for Richard W Johnson is 200 Southpark Blvd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard W Johnson |
|---|---|
| Address | 200 Southpark Blvd, St Augustine, Florida |
| Phone Number | 9048261900 |
| Fax Number | 9048261920 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1477590248 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2010-04-06 |
Provider Mailing Address Detail
| Address | 200 Southpark Blvd |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320863129 |
| Phone Number | 9048261900 |
| Fax Number | 9048261920 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO2829 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340246100 | FL | -- | |
| 6326530001 | FL | MEDICARE - DME |
Post Comment/ Review Below
What is the unique identifier code issued to Richard W Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Richard W Johnson has been assigned the NPI (National Provider Identifier) 1477590248. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Richard W Johnson's facilities are situated?
The facilities of Richard W Johnson are physically located at the following address: 200 Southpark Blvd, St Augustine, FL, 320863129.
What is the Richard W Johnson's specialty and taxonomy code?
The Richard W Johnson's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
When did Richard W Johnson receive its 1477590248 assignment?
The Richard W Johnson was assigned its 1477590248 on 2006-06-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Richard W Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard W Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-04-06.