MARISSA MARIE JOHNSON P.A.-C.
NPI 1396997862
Physician Assistant - Medical in Dearborn, MI

Q: What is Marissa Johnson's NPI number?

The NPI number for Marissa Johnson is 1396997862. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Q: What is Marissa Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marissa Johnson was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 16, 2008

6620 SCHAEFER RD, DEARBORN, MI 48126(313) 582-3700(313) 582-3301 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marissa Marie Johnson P.a.-c. NPPES

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

MARISSA MARIE JOHNSON P.A.-C. (NPI 1396997862) is an individual medical provider in Dearborn, Michigan, licensed in Michigan (5601003464) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1396997862

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARISSA MARIE JOHNSONCredential: P.A.-C.

Location Address6620 SCHAEFER RDDearborn, MI 48126-4502

Mailing Address6620 Schaefer RdDearborn, MI 48126-4502 · (313) 582-3700 · Fax (313) 582-3301

Phone(313) 582-3700

Fax(313) 582-3301

Sole ProprietorNo

Enumeration DateOctober 16, 2008

✔ NPI 1396997862 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 · 5601003464

6620 SCHAEFER RD, Dearborn, MI 48126

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Other Providers at the Same Location NPPES 3

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

DEARBORN PEDIATRIC & ADOLESCENT MEDICAL CENTER, PC

Clinic/Center (Primary Care)

6620 SCHAEFER RD
DEARBORN, MI 48126

Wayne County (313) 582-3700

DEARBORN SPECIALTY PHARMACY INC

Pharmacist

6620 SCHAEFER RD
DEARBORN, MI 48126

Wayne County (313) 477-9777

MRS. ABEIR FOUAD BEYDOUN RPH

Pharmacist

6620 SCHAEFER RD
DEARBORN, MI 48126

Wayne County (313) 582-6040

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 Marissa Johnson's NPI number?

The NPI number for Marissa Johnson is 1396997862. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Marissa Johnson located?

Marissa Johnson practices at 6620 Schaefer Rd, Dearborn, MI 48126. The listed phone number is (313) 582-3700.

What is Marissa Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Johnson was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.