MEDICARE: DR. PETER MATHEW JOHNSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101236742	VA

General Provider Information

NPI Number	:	1093914673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER MATHEW JOHNSON MD

Provider Business Mailing Address
First Line	:	1636 REGULUS AVE
Second Line	:	COMNAVSPECWARDEVGRU
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23461-2200
Country	:	US
Telephone Number	:	757-893-2026
Fax Number	:	757-492-8409

Provider Business Practice Location Address
First Line	:	1636 REGULUS AVE
Second Line	:	COMNAVSPECWARDEVGRU
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23461-2200
Country	:	US
Telephone Number	:	757-893-2026
Fax Number	:	757-492-8409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	08/29/2012

Similar Medicare Providers

1235101536 — S SCOTT OLEXY PA-C
Practice Location Address:

1636 REGULUS AVE
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 757-893-2015
Practice Fax:

1316146731 — MR. LESLIE ROY BOLTON IDC
Practice Location Address:

1636 REGULUS AVE
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 757-492-2026
Practice Fax:

1922339928 — MR. JAMES PAUL WHITE JR. PA - C
Practice Location Address:

1636 REGULUS AVE , N00M
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 757-893-2000
Practice Fax: 757-462-8409

1962724724 — MR. JOHN D DEMPSEY IDC
Practice Location Address:

1636 REGULUS AVE
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 757-893-2017
Practice Fax:

1740596048 — MR. ROBERT COREY ST.PIERRE RN
Practice Location Address:

1636 REGULUS AVE
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 434-924-2598
Practice Fax:

1174874168 — JORDAN WILLIAM WARD
Practice Location Address:

1636 REGULUS AVE , ATTN: NOOM
VIRGINIA BEACH, VA
23461-2200

Practice Phone: 402-389-0788
Practice Fax:

Directions to “ DR. PETER MATHEW JOHNSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.