William H Johnson Iii, MD | |
588 Sterthaus Dr, Ormond Beach, FL 32174-5128 | |
(386) 672-9503 | |
(386) 672-0386 |
Full Name | William H Johnson Iii |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 588 Sterthaus Dr, Ormond Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245226695 | NPI | - | NPPES |
012903200-GROUP | Medicaid | FL | |
DV0492-GROUP | Other | FL | RR MEDICARE |
041690800-INDIVIDUAL | Medicaid | FL | |
P01369814-INDIVIDUAL | Other | FL | RR MEDICARE |
007WM | Other | FL | BLUE SHIELD FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME36700 (Florida) | Primary |
2086S0129X | Surgery - Vascular Surgery | ME36700 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
William H Johnson Iii, MD 588 Sterthaus Dr, Ormond Beach, FL 32174-5128 Ph: (386) 672-9503 | William H Johnson Iii, MD 588 Sterthaus Dr, Ormond Beach, FL 32174-5128 Ph: (386) 672-9503 |
John Blake Holt, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 588 Sterthaus Dr, Ormond Beach, FL 32174 Phone: 386-672-9503 Fax: 386-672-0386 |