Derek A Johnson (NPI# 1962746172, PAC ID# 6608014295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1962746172 |
PAC ID by PECOS | 6608014295 |
Professional Enrollment ID | I20130520000686 |
Full Name | Derek A Johnson |
Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
Address |
3000 Coral Hills Dr Coral Springs FL 33065-4108 |
Phone Number | 9543443000 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5799881660 |
Number of Group Practice Members | 60 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100168 | BOCA RATON REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
21644 State Rd, Suite 7, Boca Raton, FL 33428-1842 | 5614888000 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 9543443000 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
Physicians | 58 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha Lee Tate- Kennedy | Nurse Practitioner | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Wilson Dumornay | Otolaryngology | South Florida Surgical Specialists LLC | 4101 S Hospital Dr, Suite 14, Plantation, FL 33317-2830 |
Alejandro T Soler | General Surgery | South Florida Surgical Specialists LLC | 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 |
Bernardo M Johr | Vascular Surgery | South Florida Surgical Specialists LLC | 601 N Flamingo Rd, Suite 319, Pembroke Pines, FL 33028-1011 |
David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
Brian Schmidt | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
Joseph P Corallo Jr. | Colorectal Surgery (proctology) | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
Aeyal Oren | General Surgery | South Florida Surgical Specialists LLC | 201 Nw 82nd Ave, Suite 301, Plantation, FL 33324-1839 |
Bernard J Zaragoza | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
Street Address |
3000 CORAL HILLS DR |
City | CORAL SPRINGS |
State | FL |
Zip | 33065-4108 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha Lee Tate- Kennedy | Nurse Practitioner | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Brian Schmidt | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Hina Fatima Siddiqui | Internal Medicine | Coral Springs Physician Services, LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Alvin Mendoza | Internal Medicine | Coral Springs Physician Services, LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Adam Mcqueen Polak | Nurse Practitioner | Phoenix Emergency Medicine of Broward LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Allison Ms Holley | Family Medicine | Coral Springs Physician Services, LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
David Schwartzwald | Urology | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Erica Podolsky | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Charles P Lago Sr. | Colorectal Surgery (proctology) | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Alexander J Scumpia | Emergency Medicine | Phoenix Emergency Medicine of Broward LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Elysee Sinclair | Allergy/immunology | 10167 Nw31st St, Suite 200, Coral Springs, FL 33065 | |
Farzad M Esfahani | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
Ronald F Giffler | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
Peter S Johnson | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
Maya Bat Ami | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
Ilyssa M Hershey | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
James N Kraut | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
Nicole Witteboon | Clinical Social Worker | Nicole Witteboon Inc | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 |
Bruce S Selden | Otolaryngology | 2855 N University Dr, Suite 300, Coral Springs, FL 33065-1404 | |
Floyd Leigh Phillips Iii | Plastic and Reconstructive Surgery | 2855 N University Dr, Suite 400, Coral Springs, FL 33065-1408 | |
Find all physicians in zip 33065 |
City | CORAL SPRINGS |
Zip Code | 33065 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CORAL SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derek A Johnson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.