MR. MICHAEL D JOHNSON


Address: 502 W Harrie St, Newberry, MI 49868-1209
Phone: 9062939233

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601002886 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 5411366 01

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Office Location

Street Address 502 W HARRIE ST
City NEWBERRY
State MI
Zip Code 49868-1209

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1043533243 Madelyn Garcia Physician Assistant 2605 Kinard St, Suite 200, Newberry, SC 29108-2967 2010-03-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
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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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Competitor

Search similar providers

City NEWBERRY
Zip Code 49868

Improve Information

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Dataset Information

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.

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