MARVIN W. JOHNSON M.D.
NPI 1265979041
Family Medicine in Lake Butler, FL

Q: What is Marvin W. Johnson M.D.'s NPI number?

The NPI number for Marvin W. Johnson M.D. is 1265979041. It was assigned to this organization in the NPPES registry on January 31, 2017.

Q: What is Marvin W. Johnson M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 31, 2017

850 E MAIN ST, LAKE BUTLER, FL 32054(386) 496-2406(386) 496-3362 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marvin W. Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN W. JOHNSON M.D. (NPI 1265979041) is a healthcare organization registered as a family medicine in Lake Butler, Florida and active in the NPI registry since January 2017. The organization lists Marvin Wade Johnson, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1265979041

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARVIN W. JOHNSON M.D.

Location Address850 E MAIN STLake Butler, FL 32054-1353

Mailing AddressPo Box 478Lake Butler, FL 32054-0478 · (386) 496-2406 · Fax (386) 496-3362

Phone(386) 496-2406

Fax(386) 496-3362

Organization SubpartNo

Authorized OfficialMarvin Wade JohnsonMedical Doctor · (386) 496-2406

Enumeration DateJanuary 31, 2017

✔ NPI 1265979041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME0011466

Definition

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.

850 E MAIN ST, Lake Butler, FL 32054

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Other Identifiers 4

Other53331FL · Bcbs

Medicaid065935500FL

Medicare UPIND64469FL

Medicare PIN53331FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDLINK MANAGEMENT SERVICES INC

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