Individual provider

Kay Johnston, M.D.

MOHS-Micrographic Surgery Physician Specialist

Kay Johnston, M.D. is a MOHS-Micrographic Surgery Physician in Fort Myers, FL, registered under NPI 1417930652. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 16461 DOMESTIC AVE, Fort Myers, FL 33912. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

16461 DOMESTIC AVE, Fort Myers, FL 33912 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME131008 FL MOHS-Micrographic Surgery Physician primary
K7307 TX Specialist

Licences are recorded in 2 states: FL, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Texas. The practice address on file is in Fort Myers, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
ME131008
Specialty
MOHS-Micrographic Surgery Physician
Verify with the FL board →
TX Texas
Licence
K7307
Specialty
Specialist
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What MOHS-Micrographic Surgery covers

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery ME131008 FL primary
174400000X Specialist K7307 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417930652 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 22, 2005
Last updatedMar 2, 2022
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 16461 DOMESTIC AVE
Fort Myers, FL 33912
(877) 266-7768
Fax (603) 952-3900
Mailing address 3123 GREEN MEADOW DRIVE
San Angelo, TX 76904
Other identifiers Z000080R4 (TX)
The last update on file is Mar 2, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417930652 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 3 0 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 3 0 6 1

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417930652?
NPI 1417930652 is the National Provider Identifier assigned to Kay Johnston, M.D. in Fort Myers, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does MOHS-Micrographic Surgery cover?
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery…
How do I contact Kay Johnston, M.D.?
The phone number on file with NPPES is (877) 266-7768, last updated Mar 2, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417930652 a valid number?
Yes. 1417930652 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.