MR. MICHAEL HOWARD JOHNSON PA-C
NPI 1073533725
Physician Assistant - Medical in Fort Worth, TX

Active since July 19, 2006PECOS Enrolled
4504 BOAT CLUB RD STE 800, FORT WORTH, TX 76135(817) 237-0515 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Howard Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL HOWARD JOHNSON PA-C (NPI 1073533725) is an individual medical provider in Fort Worth, Texas, licensed in Texas (PA01163) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073533725
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL HOWARD JOHNSONCredential: PA-C
Location Address4504 BOAT CLUB RD STE 800Fort Worth, TX 76135-7002
Mailing Address9157 Steiner StKeller, TX 76248-6197 · (210) 392-6186
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073533725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA01163
4504 BOAT CLUB RD STE 800, Fort Worth, TX 76135

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Michael Howard Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4504 BOAT CLUB RD STE 800
FORT WORTH, TX 76135
Physician Assistant
4504 BOAT CLUB RD STE 800
FORT WORTH, TX 76135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1073533725. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Michael Johnson located?

Michael Johnson practices at 4504 Boat Club Rd Ste 800, Fort Worth, TX 76135. The listed phone number is (817) 237-0515.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Johnson enrolled in Medicare?

Yes. Michael Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.