Michael Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35090478 Issued in OH

Practice address

4256 Fulton Dr NW Apt a
Canton, OH 44718-2879

Phone

(330) 754-6696

Fax

(330) 754-6825

NPI assigned

Jul 7, 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 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Inpatient Medical Services, Inc.

  • Internal Medicine Physician
  • Hudson, OH
  • NPI 1093756314
  NPD (past)
• Mobile Emergency Group PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1932166287
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1346273281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 FULTON DR NW APT A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182879",
            "telephone_number": "330-754-6696",
            "fax_number": "330-754-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 FULTON DR NW APT A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182879",
            "telephone_number": "330-754-6696",
            "fax_number": "330-754-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35090478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyon Johnson
• Kathleen Johnson
• Kellie Suzanne Johnson, MD
• Kima Lashawn Johnson
• Martina Johnson, HOMEMAKER PERSONAL C
• Mikaela C Johnson
• Sabriah Almaraziah Johnson
• Sade Johnson
• Sarah Johnson
• Seneca Johnson

• Internal Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.