DR. DERICK MICHAEL JOHNSON


Address: 3299 N Wellness Dr, Bldg C, #150, Holland, MI 49424-7269
Phone: 6167383884

DR. DERICK MICHAEL JOHNSON (NPI# 1972768232) 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) 1972768232
Entity Type Individual
Full Name DR. DERICK MICHAEL JOHNSON
Credential D.O.
Practice Address 3299 N Wellness Dr
Bldg C, #150
Holland
MI 49424-7269
Practice Telephone 6167383884
Practice Fax Number 6167384432
Mailing Telephone 6167383884
Mailing Fax Number 6167384432
Enumeration Date 2008-07-25
Last Update Date 2014-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery L1206639 MI Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery 0102202412 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 58.001489 OH Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
VA LICENSE 0102202412 01

Other Providers DERICK JOHNSON

NPI Name Taxonomy Address Enumeration
1124303268 Derick Lynn Johnson Pharmacist 14302 Fm 2920 Rd, Tomball, TX 77377-5504 2011-10-20

Office Location

Street Address 3299 N WELLNESS DR
BLDG C, #150
City HOLLAND
State MI
Zip Code 49424-7269

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982646949 Michael Adam Kremer Neurological Surgery 3299 N Wellness Dr, Bldg C, Suite 240, Holland, MI 49424-7269 2006-06-12
1093943771 Courtney Erickson-adams Family Medicine 3299 N Wellness Dr, Suite 150, Holland, MI 49424-7269 2009-07-01
1326281494 Holland Community Hospital Orthopaedic Surgery 3299 N Wellness Dr, Building C Suite 150, Holland, MI 49424-7269 2009-04-19
1477710952 M. Adam Kremer, M.d., Plc Neurological Surgery 3299 N Wellness Dr, Building C, Suite 240, Holland, MI 49424-7269 2008-05-21
1639390875 Mark N Folkening Md PC Family Medicine 3299 N Wellness Dr, Ste 150, Holland, MI 49424-7269 2007-05-02
1578650123 David W Lowry Neurological Surgery 3299 N Wellness Dr, Building C, Suite 240, Holland, MI 49424-7269 2006-10-06
1568559086 Scott M Tuinstra Physician Assistant 3299 N Wellness Dr, Building C; Suite 240, Holland, MI 49424-7269 2006-10-06
1831284561 Brindy Lynn Skinner Specialist/Technologist 3299 N Wellness Dr, Holland, MI 49424-7269 2006-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194290999 Anderson Family and Cosmetic Dentistry Dentist 453 136th Ave., Holland, MI 49424 2018-10-08
1487139663 Maria C. Hoekstra Dds, P.C. Dentist 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 2018-10-03
1871024000 Derek Schaaf Rehabilitation Practitioner 13835 Foxtrail Dr., Holland, MI 49424 2017-03-21
1699227397 Tabitha Margritz Optometrist 2279 N Park Drive #910, Holland, MI 49424 2016-10-28
1619373701 Miller Chiropractic LLC Chiropractor 84 East Lakewood Boulevard, Holland, MI 49424 2014-11-17
1891107611 Nathan B. Poel Dentist 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 2014-05-28
1477990802 Jeanine Hamilton Speech-Language Pathologist 1576 Eb Creek Dr., Holland, MI 49424 2013-05-24
1194062638 Stefan John Kuipers Physician Assistant 3100 Wellness Dr, Holland, MI 49424 2013-01-03
1902155690 Benjamin Eovaldi General Practice 376 Mayfair St., Holland, MI 49424 2012-09-10
1295017929 Employee Assistance Center Garden Psychologist 372 Garden, Holland, MI 49424 2011-09-20
Find all providers in zip 49424

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518249820 Frederick Joseph Shiple Orthopaedic Surgery 8629 Quail Hollow Ct, Holland, OH 43528-9247 2011-09-13
1952544876 Theodore Anthony Kostiuk Iv Orthopaedic Surgery 370 N 120th Ave Ste 20, Holland, MI 49424-2196 2009-04-07
1356393060 Daniel A Dethmers Orthopaedic Surgery 958 S Shore Dr, Holland, MI 49423-4539 2006-05-17
1710987870 Joel R Wolfe Orthopaedic Surgery 370 120th Ave, Holland, MI 49424-2196 2005-07-29
1215166913 John Swartz Orthopaedic Surgery 370 N 120th Ave, Holland, MI 49424-2196 2009-07-02
1326281494 Holland Community Hospital Orthopaedic Surgery 3299 N Wellness Dr, Building C Suite 150, Holland, MI 49424-7269 2009-04-19
1134361033 Brian W. Paff Orthopaedic Surgery 370 N 120th Ave, Holland, MI 49424-2196 2009-03-24
1073768917 Bruce Andrew Stewart Orthopaedic Surgery 370 N 120th Ave, Holland, MI 49424 2008-11-19
1053561449 Mark Edward Jacobson Orthopaedic Surgery 370 N 120th Ave, Holland, MI 49424-2196 2008-09-23
1285842468 John I Khoury Orthopaedic Surgery 370 N 120th Ave, Holland, MI 49424-2196 2007-05-19
Find all providers in HOLLAND

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City HOLLAND
Zip Code 49424

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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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