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C. MICHAEL JOHNSON, D.O,INC.
NPI 1679746895
Urology in Tulsa, OK

Active since April 09, 2008
802 S JACKSON AVE, SUITE 110, TULSA, OK 74127(918) 587-2389(918) 587-4389 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About C. Michael Johnson, D.o,inc. NPPES

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

C. MICHAEL JOHNSON, D.O,INC. (NPI 1679746895) is a healthcare organization registered as an urology in Tulsa, Oklahoma and active in the NPI registry since April 2008. The organization lists Susie Monroe, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679746895
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameC. MICHAEL JOHNSON, D.O,INC.
Location Address802 S JACKSON AVE, SUITE 110Tulsa, OK 74127-9015
Mailing Address802 So. Jackson Ave, Suite 110Tulsa, OK 74127-8921 · (918) 587-2389 · Fax (918) 587-4389
Phone(918) 587-2389
Fax(918) 587-4389
Organization SubpartNo
Authorized OfficialSusie MonroeOffice Manager · (918) 587-2389
Enumeration DateApril 9, 2008
Last NPPES UpdateNovember 18, 2008
✔ NPI 1679746895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OK · 1716
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
802 S JACKSON AVE, Tulsa, OK 74127
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Other Identifiers 3

Medicare UPINE09820OK
Medicaid100088070 AOK
Medicare PINOKB5253OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
802 S JACKSON AVE, SUITE 400
TULSA, OK 74127
Osage County (918) 561-8306
DR. CLARENCE MICHAEL JOHNSON D.O.
Urology
802 S JACKSON AVE, SUITE 110
TULSA, OK 74127
Osage County (918) 599-4477
MICHAEL P CARNEY DO
Internal Medicine (Interventional Cardiology)
802 S JACKSON AVE, SUITE 500
TULSA, OK 74127
Osage County (918) 582-7711
LARRY J DULLYE DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
802 S JACKSON AVE, 200
TULSA, OK 74127
Osage County (918) 585-3372
ANTHONY ALFREY MD
Pathology (Anatomic Pathology & Clinical Pathology)
802 S JACKSON AVE, SUITE 135
TULSA, OK 74127
Osage County (918) 582-0001
OSU CARDIOLOGY
Internal Medicine (Interventional Cardiology)
802 S JACKSON AVE, SUITE 225
TULSA, OK 74127
Osage County (918) 582-7711
CARDIOLOGY OF OKLAHOMA INC
Internal Medicine
802 S JACKSON AVE
TULSA, OK 74127
Osage County (918) 582-7711
LP DULLYE MANAGEMENT, INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
802 S JACKSON AVE, SUITE 200
TULSA, OK 74127
Osage County (918) 585-3372

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 C. Michael Johnson, D.O,inc.'s NPI number?

The NPI number for C. Michael Johnson, D.O,inc. is 1679746895. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is C. Michael Johnson, D.O,inc. located?

C. Michael Johnson, D.O,inc. is located at 802 S Jackson Ave Suite 110, Tulsa, OK 74127. The listed phone number is (918) 587-2389.

What is C. Michael Johnson, D.O,inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for C. Michael Johnson, D.O,inc. was last updated on November 18, 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.