1. Home
  2. Directory
  3. Massachusetts
  4. Fairhaven
  5. Family Medicine
  6. NPI Profile

SANDRA DIANE JOHNSON M.D.
NPI 1639153596
Family Medicine in Fairhaven, MA

Active since December 05, 2005
208 MILL ROAD, FAIRHAVEN, MA 02719(508) 973-2432(508) 973-2435 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sandra Diane Johnson M.d. NPPES

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

SANDRA DIANE JOHNSON M.D. (NPI 1639153596) is an individual family medicine provider in Fairhaven, Massachusetts, licensed in Massachusetts (231054) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1639153596
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDRA DIANE JOHNSONCredential: M.D.
Location Address208 MILL ROADFairhaven, MA 02719-5252
Mailing Address200 Mill Rd, Suite 180Fairhaven, MA 02719-5252 · (508) 973-2000 · Fax (508) 973-2001
Phone(508) 973-2432
Fax(508) 973-2435
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1639153596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 231054✔ Licensed in RI · MD11384
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
208 MILL ROAD, Fairhaven, MA 02719
Open in Google Maps ↗

Other Identifiers 1

Medicaid7056488RI

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.

MR. DAVID EDWARD TAYLOR P.A.
Physician Assistant (Medical)
208 MILL ROAD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2432
JENNIFER CORINNE RING P.A.-C, MS
Physician Assistant
208 MILL ROAD
FAIRHAVEN, MA 02719
Bristol County (508) 973-2432
RICHARD D DEMOPOULOS MD
Surgery
208 MILL ROAD, 2ND FLOOR
FAIRHAVEN, MA 02719
Bristol County (508) 973-2204

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 Sandra Johnson's NPI number?

The NPI number for Sandra Johnson is 1639153596. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Sandra Johnson located?

Sandra Johnson practices at 208 Mill Road, Fairhaven, MA 02719. The listed phone number is (508) 973-2432.

What is Sandra Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sandra Johnson was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.