| NPI | 1184695710 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-01-31 |
| Last Updated | 2024-02-06 |
| Mailing Address | 2675 Winkler Ave Fl 2 Fort Myers, FL 33901-9342 United States Phone: (877) 856-3774 | Fax: (941) 480-9322 📍 View Map |
| Primary Practice Address | 1370 E Venice Ave, Suite 202 Venice, FL 34285-9082 United States Phone: (941) 480-0500 | Fax: (941) 480-9322 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | FL | 203445431 | Tax ID |
| MEDICAID | FL | 372134500 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | FL | ME58404 |
| Yes | 207R00000X – Internal Medicine | FL | ME58404 |
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About NPI 1184695710
Keith B Johnson MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184695710. The primary specialty listed is Internal Medicine. The provider is located in Venice, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184695710?
NPI 1184695710 belongs to Keith B Johnson MD, a Internal Medicine in Venice, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184695710 active?
The current status of NPI 1184695710 in the NPPES registry is Active. The record was last updated on 2024-02-06.
What specialty is NPI 1184695710?
NPI 1184695710 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184695710?
You can verify NPI 1184695710 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184695710?
The primary practice address on file for NPI 1184695710 is 1370 E Venice Ave, Venice, FL 34285-9082. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184695710 issued?
NPI 1184695710 was first issued (enumerated) on 2006-01-31. The NPPES record was last updated on 2024-02-06.
Practice Location Map
Keith B Johnson is located at 1370 E Venice Ave, Venice, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Keith B Johnson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184695710. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | ME58404 | FL |
| Internal Medicine | ME58404 | FL |