Active NPI 1265404990 Individual Practitioner Male Practitioner

Dr. Ian James Johnson , MD

Pediatrics - Adolescent Medicine • Patrick Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ian Johnson, MD is a registered healthcare professional specializing in Pediatrics - Adolescent Medicine in Patrick Afb, FL. Practice services are available at 1381 SOUTH PATRICK DR, PATRICK AFB under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1381 South Patrick Dr, Patrick Afb
45 Medical Group

Patrick Afb, FL 329254162

Telephone 3214948152

Fax 3214948533

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Adolescent Medicine in Patrick Afb, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Patrick Afb, FL (126 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics - Adolescent Medicine Primary Specialty

NUCC Taxonomy Code: 2080A0000X

State License TX G0440

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 25, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2009

Registered at 1381 SOUTH PATRICK DR, PATRICK AFB, 45 MEDICAL GROUP, PATRICK AFB, FL 329254162 (Tel: 3214948152)

📍

Updated Business Mailing Address June 25, 2009

Registered at 4066 HIELD RD NW, PALM BAY, FL 329076307 (Tel: 3216740932)

👤

Provider Name / Credentials Updated June 25, 2009

Recorded as IAN JOHNSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2009

Pediatrics (License #G0440 in TX)

🟢

Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1265404990

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 06, 2006

Last Update: June 25, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4066 Hield Rd Nw

Palm Bay, FL 329076307

Phone: 3216740932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.