MR. EDWARD ALAN JOHNSON (NPI# 1760595961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760595961 |
| Entity Type | Individual |
| Full Name | MR. EDWARD ALAN JOHNSON |
| Credential | PAC |
| Practice Address |
1099 A1a Beach Blvd St Augustine FL 32080 |
| Mailing Address |
10 13th Street St Augustine FL 32080 |
| Practice Telephone | 9044719104 |
| Practice Fax Number | 9044613386 |
| Mailing Telephone | 9045407740 |
| Mailing Fax Number | 9044613386 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PA3355 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385708 | Edward Robert Johnson | Behavior Technician | West 6th Avenue Suite 1000, Lakewood, CO 80215-8021 | 2019-06-17 |
| 1477097368 | Edward C Johnson | Counselor | 24020 Plank Rd, Zachary, LA 70791-6429 | 2016-12-12 |
| 1245630375 | Edward Damon Johnson | Counselor | 1833 Marcia Dr, Orlando, FL 32807-6355 | 2014-08-26 |
| 1447592951 | Edward Arthur Johnson | Dentist | 841 S Dora St, Ukiah, CA 95482-5710 | 2013-03-22 |
| 1225394554 | Edward Merle Johnson II | Pharmacist | 100 Pier 1 Pl Ste 2001, Fort Worth, TX 76102 | 2012-04-11 |
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1639388705 | Edward Francis Johnson Jr. | Chiropractor | 14510 Lakeshore Dr, Clearlake, CA 95422 | 2007-05-22 |
| 1609093251 | Edward N. Johnson | Family Medicine | 308 Central Ave, Sault Sainte Marie, MI 49783-1102 | 2007-04-18 |
| 1487750964 | Edward L. Johnson | Dentist | 928 State Route 716, Ashland, KY 41102-9231 | 2006-09-15 |
| 1780691311 | Edward T. Johnson | Chiropractor | 600 John Sims Pkwy E, Niceville, FL 32578-2030 | 2006-08-03 |
| Street Address |
1099 A1A BEACH BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710090915 | Daniel J Donofrio | Family Medicine | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-08-15 |
| 1932201944 | Eric F Thoms | Student in an Organized Health Care Education/Training Program | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-09-01 |
| 1912010117 | Lothar Krueger | Family Medicine | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1821406679 | Flagler Family Medicine Pa | Family Medicine | 315 W Town Pl Ste 1, St Augustine, FL 32092-3105 | 2014-07-24 |
| 1114351079 | Vip Doctors Care of St Augustine LLC | Family Medicine | 655 State Road 207, Suite 102, St Augustine, FL 32084-5937 | 2013-08-28 |
| 1205085107 | Imran Hyderali Rajwani | Family Medicine | 309 Kingsley Lake Dr, Suite No. 904, St Augustine, FL 32092-3047 | 2008-09-16 |
| 1851463731 | Dudley Atkin Baringer | Family Medicine | 120 Health Park Blvd, Suite 1, St Augustine, FL 32086-3701 | 2006-11-15 |
| 1932215571 | Anastasia Family and Urgent Care | Family Medicine | 103 Anastasia Blvd, St Augustine, FL 32080-4503 | 2006-08-23 |
| 1649383845 | Roy H Hinman Md Pa | Family Medicine | 100 Arricola Avenue, St Augustine, FL 32080-4515 | 2006-08-15 |
| 1710090915 | Daniel J Donofrio | Family Medicine | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-08-15 |
| 1225051238 | Zehra Cumber | Family Medicine | 1955 Us 1 S Ste 100, St Augustine, FL 32086-5788 | 2006-07-25 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
Please comment or provide details below to improve the information on MR. EDWARD ALAN 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.