MR. MICHAEL D JOHNSON (NPI# 1417024969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417024969 |
Entity Type | Individual |
Full Name | MR. MICHAEL D JOHNSON |
Credential | PA |
Practice Address |
502 W Harrie St Newberry MI 49868-1209 |
Practice Telephone | 9062939233 |
Practice Fax Number | 9062939285 |
Mailing Telephone | 9062939233 |
Mailing Fax Number | 9062939285 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2009-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002886 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 5411366 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
Street Address |
502 W HARRIE ST |
City | NEWBERRY |
State | MI |
Zip Code | 49868-1209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497742050 | Helen Newberry Joy Hospital | General Acute Care Hospital | 502 W Harrie St, Newberry, MI 49868-1209 | 2005-09-29 |
1629543855 | Laura Lynn Generou | Social Worker | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-10-03 |
1780169375 | Brook Lynn Dake | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-09-28 |
1366940496 | Jacqueline Donovan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2018-01-23 |
1346763398 | Daniel Netherton | Physician Assistant | 502 W Harrie St, Newberry, MI 49868-1209 | 2017-07-21 |
1912459231 | Helen Newberry Joy Hospital Pharmacy | Pharmacy | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-11-03 |
1235581356 | Indigo Hospital Medicine - Midwest, Plc | Internal Medicine | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-07-13 |
1659722163 | Laura Jeanne Everhart | Pharmacist | 502 W Harrie St, Newberry, MI 49868-1209 | 2016-06-27 |
1174916886 | Helen Newberry Joy Hospital | Skilled Nursing Facility | 502 W Harrie St, Newberry, MI 49868-1209 | 2015-03-05 |
1023459914 | Aaron Joseph Nolan | Nurse Practitioner | 502 W Harrie St, Newberry, MI 49868-1209 | 2013-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
Find all providers in zip 49868 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881741890 | Shakisha T Redmond | Physician Assistant | 2605 Kinard St, Suite 200, Newberry, SC 29108-2967 | 2007-01-04 |
1639479777 | Jenny Porter | Physician Assistant | 128 Nw 137th Dr, Newberry, FL 32669 | 2010-10-22 |
1043533243 | Madelyn Garcia | Physician Assistant | 2605 Kinard St, Suite 200, Newberry, SC 29108-2967 | 2010-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.