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C. MICHAEL JOHNSON D.OINC. NPI 1679746895


NPI Information

NPI: 1679746895
Provider Name: C. MICHAEL JOHNSON, D.O,INC.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
802 S JACKSON AVE
SUITE 110
TULSA, OK
ZIP 74127
Phone: (918) 587-2389
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C. MICHAEL JOHNSON, D.O,INC. is an urology in Tulsa, OK. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. C. MICHAEL JOHNSON, D.O,INC. NPI is 1679746895. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

802 S JACKSON AVE
SUITE 110
TULSA, OK
ZIP 74127-015
Phone: (918) 587-2389
Fax: (918) 587-4389

The provider's authorized official is Susie Monroe .
The authorized official title is Office Manager and has the following contact phone number (918) 587-2389.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 11/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology1716OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E09820MEDICARE UPINOKLAHOMA
2100088070 AMEDICAIDOKLAHOMA
3OKB5253MEDICARE PINOKLAHOMA

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: 11/14/2023

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