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MICHAEL SHANE JOHNSON M.D.
NPI 1770877151
General Practice in Oklahoma City, OK

Active since June 03, 2011
13600 PRAIRIE VIEW LN, OKLAHOMA CITY, OK 73142(888) 330-7831 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Shane Johnson M.d. NPPES

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

MICHAEL SHANE JOHNSON M.D. (NPI 1770877151) is an individual general practice provider in Oklahoma City, Oklahoma, licensed in Oklahoma (30380) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1770877151
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMICHAEL SHANE JOHNSONCredential: M.D.
Location Address13600 PRAIRIE VIEW LNOklahoma City, OK 73142-5917
Mailing Address13600 Prairie View LnOklahoma City, OK 73142-5917 · (888) 330-7831
Phone(888) 330-7831
Sole ProprietorYes
Enumeration DateJune 3, 2011
Last NPPES UpdateApril 1, 2014
✔ NPI 1770877151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OK · 30380
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13600 PRAIRIE VIEW LN, Oklahoma City, OK 73142
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Other Providers at the Same Location NPPES

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

PRIMARY CARE MEDICAL CLINIC PLC
Clinic/Center (Primary Care)
13600 PRAIRIE VIEW LN
OKLAHOMA CITY, OK 73142
Oklahoma County (888) 330-7831

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 1770877151. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Michael Johnson located?

Michael Johnson practices at 13600 Prairie View Ln, Oklahoma City, OK 73142. The listed phone number is (888) 330-7831.

What is Michael Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Michael Johnson was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.