MICHAEL SHANE JOHNSON M.D. NPI 1770877151

NPI Information

  • NPI: 1770877151
  • Provider Name: MICHAEL SHANE JOHNSON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13600 PRAIRIE VIEW LN
    OKLAHOMA CITY, OK
    ZIP 73142
  • Phone: (888) 330-7831

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NPI Details

Michael Shane Johnson, M.D. is a general practice in Oklahoma City, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Michael Shane Johnson, M.D. NPI is 1770877151. 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:

13600 PRAIRIE VIEW LN
OKLAHOMA CITY, OK
ZIP 73142-917
Phone: (888) 330-7831

The NPI 1770877151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2011 and was last updated on 4/1/2014.

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
1208D00000XGeneral Practice30380OKLAHOMAYes

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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