Individual provider Active NPI

Thomas E. Johnson, P.A.

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1326074337
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
873 Issued in WV
Practice address
3075 US Route 60 Ste A105
Huntington, WV 25705-8859
Phone
(304) 528-4600
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA875 KY
Physician Assistant 363A00000X 873 WV Primary

Addresses

Primary practice location

3075 US Route 60 Ste A105
Huntington, WV 25705-8859

Mailing address

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Other practice location 1

1347 Hillview Dr
Milton, WV 25541-1513
Phone (304) 743-1407

Other identifiers 7

IdentifierTypeStateIssuer
000000524203OtherKYBCBS
0111530MedicaidOH
P00330689OtherRAILROAD
1069986OtherDWC
95006169MedicaidKY
P00372239OtherWVRAILROAD MEDICARE
001930720OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20040720000676 WV Practitioner - Physician Assistant 2365421534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Himg, LLCGroup PAC ID 8729406459, 80 clinicians

Practice addresses (Care Compare)

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 697-6000

3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
873WVMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. Physician Assistant CurrentSince Mar 4, 2019 Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Valley Health Systems Inc Physician Assistant Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
River Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
St Marys Medical Center, Inc. PastSince Apr 27, 2025 Accepting new patients
Ultimate Health Services Inc Past Accepting new patients

Locations

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Organizations & group practices 12

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1326074337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 US ROUTE 60 STE A105",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058859",
            "telephone_number": "304-528-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1347 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255411513",
            "country_code": "US",
            "telephone_number": "304-743-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "E.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA875",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000524203",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111530",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00330689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DWC",
            "identifier": "1069986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95006169",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00372239",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001930720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.