Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Wesley Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1699091066

Dr. Ryan Wesley Johnson, DO is an Emergency Medicine in Winter Haven, Florida. Qualified in 2022, 4 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Florida and Louisiana.

Years since qualifying
4
Licensed in
FL, LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2995 Crystal Beach Rd
Winter Haven, FL 33880-4914
Phone: (863) 585-4591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS 12318 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DO.000283 (LA)

Record details

NPI number1699091066
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2010
Last updated in NPPESAugust 19, 2013
Mailing address2995 Crystal Beach Rd, Winter Haven, FL 33880-4914

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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