Individual provider Active NPI

Sarah Marie Johnson, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1093436362
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1199586 Issued in OH
Practice address
833 Grandview Ave Unit B
Columbus, OH 43215-1123
Phone
(740) 437-9002
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1199586 OH Primary

Addresses

Primary practice location

833 Grandview Ave Unit B
Columbus, OH 43215-1123

Mailing address

131 Yaples Orchard Dr
Chillicothe, OH 45601-1282
Phone (740) 600-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjohnson@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000647 OH Order and Referring Only - Physician Assistant 9234505744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1199586OHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sarah.johnson@819536679665668.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1093436362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 YAPLES ORCHARD DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011282",
            "telephone_number": "740-600-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 GRANDVIEW AVE UNIT B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151123",
            "telephone_number": "740-437-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "1199586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjohnson@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "833 Grandview Ave Unit B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432151123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.