DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW SHANNON JOHNSON, D.O.

Active

MATTHEW SHANNON JOHNSON, D.O. is a Family Medicine healthcare provider located in PORT CHARLOTTE, Florida. NPI 1659711455 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORT CHARLOTTE, FL

Registration Details

NPI Number
1659711455
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2013 (12.955869381421 yrs)
Last Updated
Dec 28, 2023
Licenses
3011 (WV)
0116026356 (VA)
OS15650 (FL)

Practice Information

Address
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL, 339523922
Browse FL providers · Browse ZIP 33952
Phone
9416242704
Fax
9416276066
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORT CHARLOTTE, FL

Name Credential NPI
DR. IDA JOANN GAGLIARDI M.D. 1760488464
VINCENT TODD BUCKMAN M.D. 1346248762
KAREN L PHAM MD 1326046756
DR. RAELYN MICHELLE CALENDINE M.D. 1346232931
DR. JANET M TOBIN MD PA 1932193307
DR. GLADYS PEREZ M.D. 1245225895
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.