CHARLES M JOHNSON PODIATRIST PC NPI 1902955560

NPI Information

  • NPI: 1902955560
  • Provider Name: CHARLES M JOHNSON PODIATRIST PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 10244 W 7 MILE RD
    DETROIT, MI
    ZIP 48221
  • Phone: (313) 862-5800

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NPI Details

CHARLES M JOHNSON PODIATRIST PC is a foot and ankle surgery podiatrist in Detroit, MI. CHARLES M JOHNSON PODIATRIST PC NPI is 1902955560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10244 W 7 MILE RD
DETROIT, MI
ZIP 48221-904
Phone: (313) 862-5800
Fax: (313) 862-2865

The provider's authorized official is Charles M. Johnson .
The authorized official title is Director/owner and has the following contact phone number (313) 862-5800.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 5/13/2015.

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
1213ES0103XPodiatristFoot & Ankle SurgeryCJ001211MICHIGANYes

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
10P47360OTHERMICHIGANMEDICARE GROUP
20P47360MEDICARE PIN
3T34299MEDICARE UPIN
44866541MEDICAIDMICHIGAN
50P47360001MEDICARE PINMICHIGAN
6480H232610OTHERMICHIGANBLUE CROSS

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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