ELIZABETH RENEE JOHNSON (NPI# 1114369741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114369741 |
| Entity Type | Individual |
| Full Name | ELIZABETH RENEE JOHNSON |
| Credential | M.D. |
| Practice Address |
11760 Sw 40th St Ste 352 Miami FL 33175-3595 |
| Practice Telephone | 7864281059 |
| Practice Fax Number | 7864281062 |
| Mailing Telephone | 7864281059 |
| Mailing Fax Number | 7864281062 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MT205068 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME142033 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1275169138 | Elizabeth Layla Johnson | Social Worker | 978 Dekalb Ave Apt 3, Brooklyn, NY 11221-6404 | 2020-03-22 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1174013957 | Elizabeth Johnson | Psychologist | 322 5th Ave Apt A, San Francisco, CA 94118-2310 | 2018-05-16 |
| 1245739937 | Elizabeth Anne Johnson | Specialist/Technologist | 900 Nw Bryant St, Pullman, WA 99163-3009 | 2018-02-08 |
| 1720591886 | Elizabeth Michele Johnson | Licensed Practical Nurse | 16 Dartmouth Rd, Highland Mills, NY 10930-2605 | 2017-11-13 |
| 1417466046 | Elizabeth A Johnson | Nurse Practitioner | 1107b Brookdale St, Martinsville, VA 24112-4501 | 2017-09-27 |
| 1619495934 | Elizabeth Johnson | Speech-Language Pathologist | 103 Briarbrook Dr, East Peoria, IL 61611-4474 | 2017-09-07 |
| 1053834572 | Elizabeth Kaye Johnson | Social Worker | 3060 Royal Blvd S Ste 210, Alpharetta, GA 30022-1443 | 2017-07-18 |
| 1699162503 | Elizabeth Johnson | Occupational Therapist | E6717 County Road Nn, Viroqua, WI 54665-7724 | 2015-04-17 |
| Street Address |
11760 SW 40TH ST STE 352 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588866354 | Robert Saeid Farivar | Surgery | 11760 Sw 40th St Ste 352, Miami, FL 33175 | 2007-06-04 |
| 1609215771 | Hector J Crespo | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2013-06-21 |
| 1073856928 | Valerie C Valerio | Nurse Practitioner | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2013-03-28 |
| 1457629586 | Jorge X. Montilla | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2011-12-04 |
| 1114241619 | Jorge Betancor | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2010-03-26 |
| 1700044617 | Enrique A Hernandez Vila | Internal Medicine | 11760 Sw 40th St Ste 352, Miami, FL 33175-3595 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891138608 | Tony Shao | Surgery | 1321 Nw 14th St Ste 600, Miami, FL 33125-1659 | 2013-04-10 |
| 1912278946 | Eugenio E Fiallos Md Pa | Surgery | 12451 Sw 21st Ln, Miami, FL 33175-7708 | 2012-01-23 |
| 1144553157 | Bay Surgical Group LLC | Surgery | 3181 Coral Way Ste 301, Miami, FL 33145-3249 | 2009-09-09 |
| 1174548713 | Steven Roy Kanter | Surgery | 8755 Sw 94th Street, Suite 200, Miami, FL 33176-2416 | 2006-07-13 |
| 1447287735 | Omaida C Velazquez | Surgery | 1611 Nw 12th Ave Fl Ctr4, Miami, FL 33136-1005 | 2006-06-26 |
| 1134160781 | Daniel N Ramirez | Surgery | 3661 S Miami Ave Ste 610, Miami, FL 33133-4248 | 2006-06-08 |
| 1710975909 | Jose Ignacio Almeida | Surgery | 1501 S Miami Ave, Miami, FL 33129-1102 | 2005-10-11 |
| 1861495293 | The Surgical Group of Miami LLC | Surgery | 8950 N Kendall Dr, Suite 504w, Miami, FL 33176-2144 | 2005-05-31 |
| 1285107664 | Wound Care and Limb Salvage Group of Miami Pa | Surgery | 815 Nw 57th Ave Ste 130, Miami, FL 33126-2041 | 2019-01-08 |
| 1538631163 | Wound Care & Limb Salvage Multidisciplinary Group of Miami Pa | Surgery | 815 Nw 57th Ave Ste 130, Miami, FL 33126-2041 | 2018-12-20 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.