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NPI Lookup from the NPI Registry — National Provider Identifier Database

MARVIN W JOHNSON SR, MD – NPI #1346244092
Family Medicine

Dr JOHNSON graduated 1960 from UNIVERSITY OF ALABAMA SCHOOL OF 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.


Contact Information

MARVIN W JOHNSON SR, MD
850 E MAIN ST
LOT 1
LAKE BUTLER, FL32054-1348
 Medical school:
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 1960

 Phone: 386-496-2406
 Fax: 386-496-3362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty
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NPI Profile & details for MARVIN W JOHNSON SR · (Male)

NPI Number 1346244092
Credentials MD
Entity Individual
Enumeration date 06/10/2005
Last updated 06/30/2010 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
FL License # ME0011466
FL Medicaid 065935500
FL Medicare PIN 53331
FL Medicare UPIN D64469
FL Other 53331 BCBS
Hospital affiliation(s)
  • LAKE BUTLER HOSPITAL HAND SURGERY CENTER - (Critical Access)
    850 E MAIN ST
    LAKE BUTLER, FL 32054
  • NORTH FLORIDA REGIONAL MEDICAL CENTER - (Acute Care)
    6500 NEWBERRY RD
    GAINESVILLE, FL 32605
  • SHANDS STARKE REGIONAL MEDICAL CENTER - (Critical Access)
    922 E CALL ST
    STARKE, FL 32091
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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