YVONNE LOUISE JOHNSON PA-C NPI 1205955101

NPI Information

NPI: 1205955101
Provider Name: YVONNE LOUISE JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
6777 W MAPLE RD
SURGICAL SERVICES DEPT/PHYSICAIN VILLAGE
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 325-1561
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Yvonne Louise Johnson, PA-C is a medical physician assistant in West Bloomfield, MI with 26 years of experience. Yvonne Louise Johnson, PA-C NPI is 1205955101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6777 W MAPLE RD
SURGICAL SERVICES DEPT/PHYSICAIN VILLAGE
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 325-1561

The NPI 1205955101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601002912	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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