MR. MICHAEL D JOHNSON PA
NPI 1417024969
Physician Assistant - Medical in Newberry, MI

Active since November 29, 2006
502 W HARRIE ST, NEWBERRY, MI 49868(906) 293-9233(906) 293-9285 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael D Johnson Pa NPPES

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

MR. MICHAEL D JOHNSON PA (NPI 1417024969) is an individual medical provider in Newberry, Michigan, licensed in Michigan (5601002886) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417024969
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL D JOHNSONCredential: PA
Location Address502 W HARRIE STNewberry, MI 49868-1209
Mailing Address502 W Harrie StNewberry, MI 49868-1209 · (906) 293-9233 · Fax (906) 293-9285
Fax(906) 293-9285
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 24, 2009
NPI 1417024969 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 · 5601002886
502 W HARRIE ST, Newberry, MI 49868

Other Identifiers 2

Other5411366MI · Blue Cross Blue Shield
Medicare PINP29950026MI

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.

Nurse Practitioner (Family)
502 W HARRIE ST
NEWBERRY, MI 49868
Nurse Practitioner
502 W HARRIE ST
NEWBERRY, MI 49868
Surgery
502 W HARRIE ST
NEWBERRY, MI 49868
Nurse Anesthetist, Certified Registered
502 W HARRIE ST
NEWBERRY, MI 49868
Clinic/Center (Rural Health)
502 W HARRIE ST
NEWBERRY, MI 49868
Nurse Practitioner
502 W HARRIE ST
NEWBERRY, MI 49868
Family Medicine
502 W HARRIE ST
NEWBERRY, MI 49868
Nurse Anesthetist, Certified Registered
502 W HARRIE ST
NEWBERRY, MI 49868

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 1417024969. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Michael Johnson located?

Michael Johnson practices at 502 W Harrie St, Newberry, MI 49868. The listed phone number is (906) 293-9233.

What is Michael 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 Michael Johnson was last updated on June 24, 2009. 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.