Michelle M Johnston, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

219360 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502

Phone

(315) 624-6241

Fax

(315) 624-6395

NPI assigned

Oct 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

AnesthesiologyAlso: Interventional Pain Management

Education

State University of Ny Upstate Medical University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis CountyGroup PAC ID 2668463779, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lewis County General Hospital

  • Pain Medicine Physician
  • Lowville, NY
  • NPI 1568524122

  Anesthesiology, NY

  Medicare reassignment Care Compare group NPD
• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737

  NY

  Medicare reassignment NPD
• Lewis County

  • Public Health or Welfare Agency
  • Lowville, NY
  • NPI 1114659778
  NPD

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

• Lewis County

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402

  Hospital

  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838

  Hospital

  Care Compare affiliation
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1477540771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 310",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-624-6241",
            "fax_number": "315-624-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "219360",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "219360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02192381",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M Johnson, LPN
• Leah Johnson
• Nancy A Johnson, LCSW
• Rita Johnson, PT
• Tiesha D Johnson, PMHNP
• Surendra K. Johri, MD
• Kathleen Bridget Joly, M.S., RPA-C
• Allison Jones
• Cynthia L Jones, MD, MPH
• Jacquette Jones

• Anesthesiology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.