What is Michael Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1174517627, enumerated as a individual on September 9, 2005.

What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363A00000X.

MICHAEL ANDREW JOHNSON PA-C - NPI 1174517627 - Physician Assistant in Fort Walton Beach, FL

Q: Where is the provider located?

The provider is located at 1005 MAR WALT DR INTERNAL MEDICINE DEPARTMENT FORT WALTON BEACH, FL 32547 and the phone number is (850) 863-8202.

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About Michael Andrew Johnson Pa-c NPPES

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

MICHAEL ANDREW JOHNSON PA-C (NPI 1174517627) is an individual physician assistant in Fort Walton Beach, Florida, licensed in Florida (PA9104179) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1174517627

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL ANDREW JOHNSONCredential: PA-C

Location Address1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENTFort Walton Beach, FL 32547-6707

Mailing Address1005 Mar Walt Drive, Internal Medicine DepartmentFort Walton Beach, FL 32547-6796 · (850) 863-8202 · Fax (850) 862-6148

Phone(850) 863-8202

Fax(850) 862-6148

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateMay 19, 2009

✔ NPI 1174517627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9104179✔ Licensed in WA · PA10004773

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1005 MAR WALT DR, Fort Walton Beach, FL 32547

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