ZACKERY MATTHEW JOHNSON PA-C NPI 1255267720

NPI Information

  • NPI: 1255267720
  • Provider Name: ZACKERY MATTHEW JOHNSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 6908 SW 17TH ST
    TOPEKA, KS
    ZIP 66615
  • Phone: (316) 213-3660

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NPI Details

Zackery Matthew Johnson, PA-C is a medical physician assistant in Topeka, KS. Zackery Matthew Johnson, PA-C NPI is 1255267720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6908 SW 17TH ST
TOPEKA, KS
ZIP 66615-136
Phone: (316) 213-3660

The enumeration date for this NPI number is 6/22/2026 and was last updated on 6/22/2026.

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
1363AM0700XPhysician AssistantMedicalKANSASYes
2363A00000XPhysician AssistantKANSASNo

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: 11/21/2025

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