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HEATHER JOHNSON P.A.
NPI 1366656449
Physician Assistant - Medical in Plymouth, MI

Active since May 09, 2007PECOS Enrolled
990 W ANN ARBOR TRL, PLYMOUTH, MI 48170(734) 414-1099(734) 414-1065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Heather Johnson P.a. NPPES

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

HEATHER JOHNSON P.A. (NPI 1366656449) is an individual medical provider in Plymouth, Michigan, licensed in Michigan (5601004334) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366656449
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEATHER JOHNSONCredential: P.A.
Location Address990 W ANN ARBOR TRLPlymouth, MI 48170-6204
Mailing Address990 W Ann Arbor TrlPlymouth, MI 48170-6204 · (734) 414-1099 · Fax (734) 414-1065
Phone(734) 414-1099
Fax(734) 414-1065
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366656449 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 MI · 5601004334
990 W ANN ARBOR TRL, Plymouth, MI 48170
Open in Google Maps ↗

Other Identifiers 1

Other5601004334MI · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Johnson P.a. 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 20

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

MRS. CYNTHIA DENISE CULLER-JOHNSON MD
Internal Medicine
990 W ANN ARBOR TRL, SUITE 208
PLYMOUTH, MI 48170
Wayne County (734) 455-1200
DR. TARIN GITLIN M.D.
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
JAMES SANSONE M.D.
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
JERI KEDZIERSKI M.D.
Specialist
990 W ANN ARBOR TRL
PLYMOUTH, MI 48170
Wayne County (734) 414-1099
DR. LORRI VANDERROEST M.D.
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
ROBERT CHARLES URBANIC M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
990 W ANN ARBOR TRL, SUITE 100
PLYMOUTH, MI 48170
Wayne County (734) 455-4200
IHA HEALTH SERVICES CORPORATION
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
DR. NORMAN GOVE M.D.
Obstetrics & Gynecology
990 W ANN ARBOR TRL, SUITE 302
PLYMOUTH, MI 48170
Wayne County (734) 414-1090

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 Heather Johnson's NPI number?

The NPI number for Heather Johnson is 1366656449. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Heather Johnson located?

Heather Johnson practices at 990 W Ann Arbor Trl, Plymouth, MI 48170. The listed phone number is (734) 414-1099.

What is Heather Johnson's specialty?

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

Is Heather Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather 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.