DR. JACOB DANIEL JOHNSON DO
NPI 1962760124
Surgery - Vascular Surgery in Taylor, MI

Q: What is Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1962760124. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on November 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 25, 2012

15411 PARK VILLAGE BLVD, TAYLOR, MI 48180(646) 714-1984 Get Directions Write a Review

NPPES record last updated: November 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jacob Daniel Johnson Do NPPES

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

DR. JACOB DANIEL JOHNSON DO (NPI 1962760124) is an individual vascular surgery provider in Taylor, Michigan, licensed in Michigan (5101020933) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1962760124

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JACOB DANIEL JOHNSONCredential: DO

Location Address15411 PARK VILLAGE BLVDTaylor, MI 48180-4886

Mailing Address15411 Park Village BlvdTaylor, MI 48180-4886

Phone(646) 714-1984

Sole ProprietorYes

Enumeration DateApril 25, 2012

Last NPPES UpdateNovember 21, 2015

✔ NPI 1962760124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MI · 5101020933

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 5101020933 (MI)

15411 PARK VILLAGE BLVD, Taylor, MI 48180

Open in Google Maps ↗

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 Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1962760124. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Jacob Johnson located?

Jacob Johnson practices at 15411 Park Village Blvd, Taylor, MI 48180. The listed phone number is (646) 714-1984.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on November 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.