Johnson Dialysis Management, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JOHNSON DIALYSIS MANAGEMENT, LLC

Practice address

21700 Greenfield Rd
Ste 215
Oak Park, MI 48237-2581

Phone

(313) 477-4432

NPI assigned

Mar 25, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Shyrlwtta Johnson

Title

Ceo

Phone

(313) 447-4432

Specialties & licenses 1

Addresses

Tax ID family

Johnson Dialysis Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson & Johnson P.T. L.L.C

  • Preferred Provider Organization
  • Oak Park, MI
  • NPI 1932632627
  NPD tax ID

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1417488909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "313-477-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "STE 215",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "313-477-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DIALYSIS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHYRLWTTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-447-4432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Holcy Jernigan, B.S.W.
• Jewish Apartments and Services Fka Jewish Federation Apartments
• Jewish Family Service
• Carolyn Jimmerson Lee, DO
• Johnson & Johnson P.T. L.L.C
• Anthony Walter-Lewis Johnson
• Carla B Johnson
• Izzal Thomas Johnson, LMT
• Quanda Zavette Johnson, DDS
• Sharon Johnson

• Physical Medicine & Rehabilitation Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.