Michael Johnson in Grand Rapids - Physician Assistant
Michael Johnson - NPI 1619917986
Michael Johnson is a Physician Assistant in Grand Rapids, Michigan. Michael Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Johnson is 1619917986. The last update date is 2021-02-17.
Michael Johnson's current location address is 4069 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167749333. The mailing address for Michael Johnson is 4069 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Johnson |
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Address | 4069 Lake Dr Se, Grand Rapids, Michigan |
Phone Number | 6167749333 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1619917986 |
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Provider Enumeration Date | 2006-06-07 |
Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
Address | 4069 Lake Dr Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495468816 |
Phone Number | 6167749333 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601002669 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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0N38550 | MI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Johnson by the Centers for Medicare & Medicaid Services?
The Michael Johnson has been assigned the NPI (National Provider Identifier) 1619917986. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Johnson?
The Michael Johnson is situated at 4069 Lake Dr Se, in the city of Grand Rapids, state of MI, with the zip code 495468816.
What is the area of specialization for Michael Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Johnson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Michael Johnson's 1619917986 issued?
The Michael Johnson's 1619917986 was issued on 2006-06-07.
As of what date was the information pertaining to Michael Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-17.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY