JOHN P JOHNSON PA-C
NPI 1821084047
Physician Assistant - Medical in Moline, IL
About John P Johnson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P JOHNSON PA-C (NPI 1821084047) is an individual medical provider in Moline, Illinois, licensed in Illinois (085002074) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John P Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Johnson's NPI number?
The NPI number for John Johnson is 1821084047. It was assigned to this individual provider in the NPPES registry on September 22, 2005.
Where is John Johnson located?
John Johnson practices at 4376 7th St, Moline, IL 61265. The listed phone number is (309) 762-0777.
What is John Johnson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is John Johnson enrolled in Medicare?
Yes. John Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Johnson was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John P Johnson, PA-C · NPI 1821084047
Medical physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since September 22, 2005.
## Identity
- **NPI:** 1821084047 (Entity type: Individual)
- **Enumerated:** September 22, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085002074 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4376 7TH ST, Moline, IL 61265-6867
- **Phone:** (309) 762-0777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 8, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 141942 (IL); Other 242060 (IL); Other Q02637; and 9 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1821084047) · Data from the CMS NPPES public registry.