NPIMap

Individual provider Active NPI

Monica S Johnson, MD

  • Emergency Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1023102803
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MI430168567 Issued in MI
Practice address
805 S Oakland St
Saint Johns, MI 48879-2253
Phone
(989) 227-3400
Fax
(989) 224-8744
NPI assigned
Oct 3, 2006
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MI430168567 MI Primary

Addresses

Primary practice location

805 S Oakland St
Saint Johns, MI 48879-2253

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6200

Other identifiers 1

IdentifierTypeStateIssuer
1023102803MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000878 MI Practitioner - Emergency Medicine 0244206902 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MI430168567MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Jun 28, 2010 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jun 30, 2021 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine CurrentSince Jun 30, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Mar 1, 2021 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Dickinson County Healthcare System Family Medicine CurrentSince Oct 3, 2024 Accepting new patients
Sparrow Carson Hospital Emergency Medicine CurrentSince Jun 28, 2010 Accepting new patients
US Dept of HHS Family Medicine Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Interoperability endpoints

  • Direct secure messaging: mjohnson58086@direct.covenanthealthcare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1023102803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6200",
            "fax_number": "517-364-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "989-227-3400",
            "fax_number": "989-224-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONICA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "MI430168567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023102803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.