DARREL JOHNSON PA-C NPI 1255368882

NPI Information

  • NPI: 1255368882
  • Provider Name: DARREL JOHNSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1200 S 7TH AVE
    STE 2
    SIOUX FALLS, SD
    ZIP 57105
  • Phone: (605) 336-2140

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NPI Details

Darrel Johnson, PA-C is a medical physician assistant in Sioux Falls, SD. Darrel Johnson, PA-C NPI is 1255368882. 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:

1200 S 7TH AVE
STE 2
SIOUX FALLS, SD
ZIP 57105-998
Phone: (605) 336-2140

The enumeration date for this NPI number is 6/27/2006 and was last updated on 4/15/2010.

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
1363A00000XPhysician Assistant0266SOUTH DAKOTANo
2363AM0700XPhysician AssistantMedical0266SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16826102MEDICAIDSOUTH DAKOTA
2P00341410MEDICARE PINSOUTH DAKOTA
3100793MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA

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: 3/30/2025

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