Michael James Johnson in Pueblo - Physician Assistant
Michael James Johnson - NPI 1891714234
Michael James Johnson is a Physician Assistant in Pueblo, Colorado. Michael James Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael James Johnson is 1891714234. The last update date is 2023-03-07.
Michael James Johnson's current location address is 1008 Minnequa Ave, Pueblo, Colorado. You can contact this provider via phone number 7195605656 and fax number 7195604715. The mailing address for Michael James Johnson is 1008 Minnequa Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael James Johnson |
|---|---|
| Address | 1008 Minnequa Ave, Pueblo, Colorado |
| Phone Number | 7195605656 |
| Fax Number | 7195604715 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1891714234 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1008 Minnequa Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810043733 |
| Phone Number | 7195605656 |
| Fax Number | 7195604715 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 595 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970016858 | CO | RAILROAD MEDICARE | |
| 7005952 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael James Johnson by the Centers for Medicare & Medicaid Services?
The Michael James Johnson has been issued the NPI (National Provider Identifier) 1891714234 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael James Johnson?
The Michael James Johnson is situated at 1008 Minnequa Ave, in the city of Pueblo, state of CO, with the zip code 810043733.
What is Michael James Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael James Johnson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When was the Michael James Johnson's 1891714234 issued?
The Michael James Johnson's 1891714234 was issued on 2006-07-18.
As of what date were the details pertaining to Michael James Johnson last refreshed?
The information related to the Michael James Johnson, including its address, specialty, and other relevant details, was last updated on 2023-03-07.