Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Richard W Johnson, DPM

Individual provider Podiatrist · NPI 1477590248

Dr. Richard W Johnson, DPM is a Podiatry in St Augustine, Florida. Graduated from Temple University School of Podiatric Medicine in 1996, 30 years ago. Practices with Coastal Foot and Ankle Wellness Center LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Trained at
Temple University School of Podiatric Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

200 Southpark Blvd Ste 208
St Augustine, FL 32086-3129
Phone: (904) 826-1900
Fax: (904) 826-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO2829 (FL)

Record details

NPI number1477590248
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 6, 2010
Mailing address200 Southpark Blvd, Ste 208, St Augustine, FL 32086-3129

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice Coastal Foot And Ankle Wellness Center Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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