Individual provider Active NPI

James Edward Johnson, D.O.

  • Surgery Physician
  • Clinton TWP, MI
National Provider Identifier
1467450304
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
007081 Issued in MI
Practice address
37400 Garfield Rd
Suite 120
Clinton TWP, MI 48036-3648
Phone
(586) 228-3800
Fax
(586) 228-9800
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 007081 MI Primary

Addresses

Primary practice location

37400 Garfield Rd
Suite 120
Clinton TWP, MI 48036-3648

Mailing address

37400 Garfield Rd
Suite 120
Clinton TWP, MI 48036-3648
Phone (586) 228-3800

Other identifiers 1

IdentifierTypeStateIssuer
2125953MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
007081MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital CurrentSince Oct 1, 2015 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Oct 1, 2015 Accepting new patients
Macomb Surgical Associates,P.C. Surgery CurrentSince May 1, 2006 Accepting new patients

Locations

37400 Garfield Rd
Ste 120
Clinton Twp, MI 48036
Phone (586) 228-3800

21510 Harrington St
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-3800

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • Direct secure messaging: jjohnson63223@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467450304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD",
            "address_2": "SUITE 120",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-228-3800",
            "fax_number": "586-228-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD",
            "address_2": "SUITE 120",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-228-3800",
            "fax_number": "586-228-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "007081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125953",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.