DR. GARY R JOHNSON (NPI# 1740240837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740240837 |
| Entity Type | Individual |
| Full Name | DR. GARY R JOHNSON |
| Credential | MD |
| Practice Address |
320 1st St N Winter Haven FL 33881-4113 |
| Mailing Address |
Po Box 2797 Winter Haven FL 33883 |
| Practice Telephone | 8635080202 |
| Practice Fax Number | 8632934994 |
| Mailing Telephone | 8635080202 |
| Mailing Fax Number | 8632934994 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME36696 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 53792 | 01 |
| FL | 042162600 | 05 | |
| FL | RAILROAD MEDICARE | 060063442 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1689146078 | Gary L Johnson | Marriage & Family Therapist | 1200 Cedar Ln, Tullahoma, TN 37388-2255 | 2018-12-22 |
| 1083085369 | Gary Johnson | Assisted Living Facility | 1539 W Avenue L12, Lancaster, CA 93534-6930 | 2015-10-13 |
| 1184063323 | Gary D Johnson | Pharmacist | 1897 E Fall View Dr, Sandy, UT 84093-7058 | 2013-06-20 |
| 1568709798 | Gary Lewis Johnson | Rehabilitation Practitioner | 9322 Dorrell Ln, 9322 Dorrell Lane, Las Vegas, NV 89149-0172 | 2013-01-08 |
| 1184997074 | Gary Wayne Johnson | Physical Therapist | 987 Nohunta Ct, Cincinnati, OH 45231-2518 | 2012-02-23 |
| 1518259811 | Gary A Johnson | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2011-05-05 |
| 1285931923 | Gary David Johnson | Chiropractor | 413 W Morgan St, Duluth, MN 55811-4432 | 2011-02-15 |
| 1306156930 | Gary Anthony Johnson II | Private Vehicle | 1430 Dighton Ct, Virginia Beach, VA 23464-8624 | 2010-10-17 |
| 1417118217 | Gary Michael Johnson II | Audiologist | 7025 E Mcdowell Rd, Suite 1c, Scottsdale, AZ 85257-3328 | 2008-06-24 |
| Street Address |
320 1ST ST N |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315818 | David B Simmons | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2005-12-06 |
| 1073151064 | Radiology & Imaging Specialists of Lakeland, Pa | Surgery | 320 1st St N, Winter Haven, FL 33881-4113 | 2019-12-20 |
| 1043630288 | Comprehensive Cardiovascular Specialists LLC | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2014-04-25 |
| 1366707606 | Cynthia Louise Wolford | Nurse Practitioner | 320 1st St N, Winter Haven, FL 33881-4113 | 2012-07-12 |
| 1013244169 | Ashish Shah Md LLC | Specialist | 320 1st St N, Winter Haven, FL 33881-4113 | 2009-11-11 |
| 1316180300 | Carolyn D. Pass, M.d., P.a. | Specialist | 320 1st St N, Winter Haven, FL 33881-4113 | 2009-04-07 |
| 1487823274 | Winter Haven Cardiology Pa | Specialist | 320 1st St N, Winter Haven, FL 33881-4113 | 2008-02-26 |
| 1013191444 | Cypress Cardiology Pa | Specialist | 320 1st St N, Winter Haven, FL 33881-4113 | 2007-12-20 |
| 1396713491 | Kollagunta Sreenivasa Chandrasekhar | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215339817 | Mid Florida Cardiovascular Center, LLC | Internal Medicine | 209 Ruby Lake Ln, Winter Haven, FL 33884-3267 | 2014-09-25 |
| 1043630288 | Comprehensive Cardiovascular Specialists LLC | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2014-04-25 |
| 1932480688 | Muhammad Mustafa | Internal Medicine | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2011-09-07 |
| 1043480361 | Siva K. Bhashyam | Internal Medicine | 201 Magnolia Ave Sw, Winter Haven, FL 33880-2943 | 2008-03-03 |
| 1356525596 | Javier Acevedo | Internal Medicine | 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881-4131 | 2007-12-24 |
| 1487611299 | Zaheed Tai | Internal Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2006-04-26 |
| 1760450902 | Randall B Kramer | Internal Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2006-03-14 |
| 1396713491 | Kollagunta Sreenivasa Chandrasekhar | Internal Medicine | 320 1st St N, Winter Haven, FL 33881-4113 | 2006-03-14 |
| 1285632265 | Edgar H Willard | Internal Medicine | 500 E Central Ave, East Centraond Clinic, Winter Haven, FL 33880-3053 | 2005-07-13 |
| 1952309106 | Jose R Vigoreaux | Internal Medicine | 500 E Central Ave, Bond Clinic, P.a., Winter Haven, FL 33880-3053 | 2005-07-12 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on DR. GARY R JOHNSON.
| 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.