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DR. GARY KEITH JOHNSON M.D., M.P.H.
NPI 1083752802
Pediatrics in Flint, MI

Active since February 02, 2007
630 S SAGINAW ST, FLINT, MI 48502(810) 257-3155(810) 257-3147 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Keith Johnson M.d., M.p.h. NPPES

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

DR. GARY KEITH JOHNSON M.D., M.P.H. (NPI 1083752802) is an individual pediatrics provider in Flint, Michigan, licensed in Michigan (4301049794) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1083752802
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GARY KEITH JOHNSONCredential: M.D., M.P.H.
Location Address630 S SAGINAW STFlint, MI 48502-1525
Mailing Address630 S Saginaw StFlint, MI 48502-1525 · (810) 257-3155 · Fax (810) 257-3147
Phone(810) 257-3155
Fax(810) 257-3147
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1083752802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301049794
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
630 S SAGINAW ST, Flint, MI 48502
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Other Identifiers 4

Medicare UPINB47215MI
Medicaid3149593MI
Medicaid3149584MI
Medicaid2837685MI

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.

GENESEE COUNTY HEALTH DEPARTMENT
Clinic/Center (Ambulatory Family Planning Facility)
630 S SAGINAW ST, ATTN: ACCOUNTING DEPARTMENT SUITE 4
FLINT, MI 48502
Genesee County (810) 237-6167
BARBARA HOLLIE NP
Registered Nurse
630 S SAGINAW ST
FLINT, MI 48502
Genesee County (810) 237-4544

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 Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1083752802. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Gary Johnson located?

Gary Johnson practices at 630 S Saginaw St, Flint, MI 48502. The listed phone number is (810) 257-3155.

What is Gary Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Gary Johnson was last updated on July 9, 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.