James R Johnson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101014114 Issued in MI

Practice address

5400 Fort St
Suite 130
Trenton, MI 48183-4632

Phone

(734) 362-7100

Fax

(734) 671-1768

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
• Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
• Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
• Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prestige Health Services PLC

  • Internal Medicine Physician
  • Trenton, MI
  • NPI 1720291818
  Medicare reassignment NPD Authorized official
• Advantage Health Services PLC

  • Family Medicine Physician
  • Trenton, MI
  • NPI 1366851230
  NPD
• Downriver Family Health PLLC

  • Internal Medicine Physician
  • Riverview, MI
  • NPI 1366255663
  NPD

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

• Henry Ford Wyandotte Hospital

  • Ambulatory Surgical Clinic/Center
  • Wyandotte, MI
  • NPI 1093901035

  Hospital

  Care Compare affiliation
• Henry Ford Wyandotte Hospital

  • General Acute Care Hospital
  • Wyandotte, MI
  • NPI 1992725352
  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Taylor, MI
  • NPI 1487605168
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Trenton, MI
  • NPI 1740230648
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1316901754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 130",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-362-7100",
            "fax_number": "734-671-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110H232900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - INDIVIDUAL",
            "identifier": "1158215544",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN - INDIVIDUAL",
            "identifier": "1158215544",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E42955",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "110H232900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Michael Butto DO PC
• Kristen Johannessen, DO
• John E Bodell DO PC
• Hayley Johnson
• J G Johnson, DO
• Kaylee Michelle Johnson
• Brittany Amber Jolley
• Emily Maria Jones
• Jahniece Jones
• Margaret Jorden

• Internal Medicine Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.