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SCOTT JOHNSON DO
NPI 1356000780
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since December 13, 2021PECOS Enrolled
653-1 W 8TH ST FL 4, JACKSONVILLE, FL 32209(904) 244-3140 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Dec 13, 2021 (2 updates tracked since 2021).

About Scott Johnson Do NPPES

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

SCOTT JOHNSON DO (NPI 1356000780) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gig Harbor.

NPPES Registry Identity

NPI1356000780
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSCOTT JOHNSONCredential: DO
Location Address653-1 W 8TH ST FL 4Jacksonville, FL 32209-6511
Mailing Address220 Riverside Ave Unit 641Jacksonville, FL 32202-4962 · (602) 515-6885
Phone(904) 244-3140
Sole ProprietorNo
Enumeration DateDecember 13, 2021
Last NPPES UpdateJune 8, 20222 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1356000780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653-1 W 8TH ST FL 4, Jacksonville, FL 32209
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Secondary Practice Location 1

Location 111567 Canterwood BlvdGig Harbor, WA 98332-5812 · Phone (253) 530-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Johnson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ANN HAROUNY CONNERY
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
MARYURI BRICENO CANNON MD
Pediatrics
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 633-4199
DR. EAMON TERENCE OLWELL MD
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
ELIZABETH VERONICA ZOROVICH MD
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (516) 317-1076
DR. TASNUVA RASHID MD, PHD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
MR. RUDOLPH WELLS II
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 633-4199
JUAN ALBERTO CARDENAS FIMBRES MD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 633-4199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Johnson's NPI number?

The NPI number for Scott Johnson is 1356000780. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Scott Johnson located?

Scott Johnson practices at 653-1 W 8th St Fl 4, Jacksonville, FL 32209. The listed phone number is (904) 244-3140.

What is Scott Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Scott Johnson enrolled in Medicare?

Yes. Scott Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Johnson was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.