Active NPI
Micah Johnson, RVT
- Vascular Sonography Radiologic Technologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Sonography Radiologic Technologist
- License
- 135818
- Practice address
- 718 Lexington Ave
San Antonio, TX 78212-4768 - Phone
- (210) 251-2024
- Fax
- (210) 742-9697
- NPI assigned
- May 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | 135818 | TX | Primary |
Addresses
Primary practice location
718 Lexington Ave
San Antonio, TX 78212-4768
Mailing address
24165 Ih 10 W Ste 217747
San Antonio, TX 78257-1449
Phone (210) 251-2024
Other practice location 1
9819 Huebner Rd Bldg 4
San Antonio, TX 78240-3253
Phone (254) 718-9172 ext. 001
Other practice location 2
7103 S Peek Rd Ste 300
Richmond, TX 77407-3505
Phone (210) 251-2024
Other practice location 3
641 N New Ballas Rd
Creve Coeur, MO 63141-6713
Phone (210) 251-2024
Other practice location 4
32357 US Highway 281 N
Bulverde, TX 78163-3158
Phone (210) 251-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135818 | TX | MD | Vascular Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precise Vascular Sonography LLC | Current | Accepting new patients | |
| Hill Country Wound Care Vascular & Hyperbarics | Past | Accepting new patients |
Locations
641 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 648-0101
32357 US Highway 281 N
Bulverde, TX 78163
Phone (210) 251-2024
7103 S Peek Rd
Ste 300
Richmond, TX 77407
Phone (210) 251-2024
718 Lexington Ave
San Antonio, TX 78212
Phone (210) 251-2024
9819 Huebner Rd
Bldg 4
San Antonio, TX 78240
Phone (210) 251-2024
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Antonio, TX
- NPI 1326661190
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Bulverde, TX
- NPI 1629674486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639785600000",
"number": "1013530310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24165 IH 10 W STE 217747",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571449",
"telephone_number": "210-251-2024",
"fax_number": "210-742-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 LEXINGTON AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124768",
"telephone_number": "210-251-2024",
"fax_number": "210-742-9697"
}
],
"practiceLocations": [
{
"address_1": "9819 Huebner Rd Bldg 4",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782403253",
"country_code": "US",
"telephone_number": "254-718-9172 x001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7103 S Peek Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774073505",
"country_code": "US",
"telephone_number": "210-251-2024",
"fax_number": "210-742-9697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "641 N New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Creve Coeur",
"state": "MO",
"postal_code": "631416713",
"country_code": "US",
"telephone_number": "210-251-2024",
"fax_number": "210-742-9697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32357 US Highway 281 N",
"address_purpose": "LOCATION",
"city": "Bulverde",
"state": "TX",
"postal_code": "781633158",
"country_code": "US",
"telephone_number": "210-251-2024",
"fax_number": "210-742-9697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICAH",
"name_prefix": "Mr.",
"credential": "RVT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-20",
"last_updated": "2021-12-18",
"certification_date": "2021-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0105X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "TX",
"license": "135818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.