MATHEW S JOHNSON MD PLLC
NPI 1558055186
Specialist in Shalimar, FL

Active since June 06, 2023
2578 CAYENNE LN, SHALIMAR, FL 32579(520) 409-8320 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Aug 31, 2023, Jun 8, 2023 (3 updates tracked since 2023).

About Mathew S Johnson Md Pllc NPPES

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

MATHEW S JOHNSON MD PLLC (NPI 1558055186) is a healthcare organization registered as a specialist in Shalimar, Florida and active in the NPI registry since June 2023. The organization lists Matthew Johnson, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1558055186
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMATHEW S JOHNSON MD PLLC
Location Address2578 CAYENNE LNShalimar, FL 32579-1268
Mailing Address2578 Cayenne LnShalimar, FL 32579-1268 · (520) 409-8320
Organization SubpartNo
Authorized OfficialMatthew JohnsonOwner/provider · (702) 719-9059
Enumeration DateJune 6, 2023
Last NPPES UpdateJanuary 31, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
NPI 1558055186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2578 CAYENNE LN, Shalimar, FL 32579

Other Names 1

Other NameMatthew Johnson Md Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Surgery
2578 CAYENNE LN
SHALIMAR, FL 32579

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 Mathew S Johnson MD PLLC's NPI number?

The NPI number for Mathew S Johnson MD PLLC is 1558055186. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider is also known as Matthew Johnson MD PLLC.

Where is Mathew S Johnson MD PLLC located?

Mathew S Johnson MD PLLC is located at 2578 Cayenne Ln, Shalimar, FL 32579. The listed phone number is (520) 409-8320.

What is Mathew S Johnson MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mathew S Johnson MD PLLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.