1639168560 NPI number — DR. HOWARD ULYSSES JOHNSON II MD

Table of content: DR. HOWARD ULYSSES JOHNSON II MD (NPI 1639168560)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639168560 NPI number — DR. HOWARD ULYSSES JOHNSON II MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON II
Provider First Name:
HOWARD
Provider Middle Name:
ULYSSES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639168560
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
WESLEY CHAPEL OBGYN WOMEN'S CARE LLC, 2734 WINGUARD CIR
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
WESLEY CHAPEL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33544
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-803-3026
Provider Business Mailing Address Fax Number:
833-428-6008

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13801 BRUCE B DOWNS BLVD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33613-3946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-975-9788
Provider Business Practice Location Address Fax Number:
813-971-9716
Provider Enumeration Date:
10/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  68139 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X , with the licence number: 0049037 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 043723900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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