CHARLES M JOHNSON PODIATRIST PC NPI 1902955560

NPI Information

NPI: 1902955560
Provider Name: CHARLES M JOHNSON PODIATRIST PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10244 W 7 MILE RD
DETROIT, MI
ZIP 48221
Phone: (313) 862-5800
Get Directions

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	CJ001211	MICHIGAN	Yes

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
1	0P47360	OTHER	MICHIGAN	MEDICARE GROUP
2	0P47360	MEDICARE PIN
3	T34299	MEDICARE UPIN
4	4866541	MEDICAID	MICHIGAN
5	0P47360001	MEDICARE PIN	MICHIGAN
6	480H232610	OTHER	MICHIGAN	BLUE 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: 11/14/2023

NPI Synchronization or Removal

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