MEDICARE: DR. RICHARD W JOHNSON DPM

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	213E00000X	Podiatrist	PO2829	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	6326530001	OTHER	FL	MEDICARE - DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477590248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD W JOHNSON DPM

Provider Business Mailing Address
First Line	:	200 SOUTHPARK BLVD
Second Line	:	STE 208
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3129
Country	:	US
Telephone Number	:	904-826-1900
Fax Number	:	904-826-1920

Provider Business Practice Location Address
First Line	:	200 SOUTHPARK BLVD
Second Line	:	STE 208
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3129
Country	:	US
Telephone Number	:	904-826-1900
Fax Number	:	904-826-1920

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/06/2010

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1184648495 — DR. BARRY F DOBIES M.D.
Practice Location Address:

200 SOUTHPARK BLVD STE 208
ST AUGUSTINE, FL
32086-3129

Practice Phone: 904-295-3682
Practice Fax: 904-295-3688

1992742142 — DR. JOSE M CONCHA DPM
Practice Location Address:

200 SOUTHPARK BLVD , SUITE 208
ST AUGUSTINE, FL
32086-3129

Practice Phone: 904-826-1900
Practice Fax: 904-826-1920

Directions to “ DR. RICHARD W JOHNSON DPM” 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.