Organization Active NPI

Dr Jo Ann Johnson, D.O., P.L.C.

Doing business as Urgent Care

  • Family Medicine Physician
  • Fenton, MI
National Provider Identifier
1548283633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010026 Issued in MI
Legal business name
DR JO ANN JOHNSON, D.O., P.L.C.
Doing business as
Urgent Care
Practice address
3220 Silver Lake Rd
Fenton, MI 48430
Phone
(810) 750-1763
Fax
(810) 750-1786
NPI assigned
Jul 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jo Ann Johnson, D.O.NPI 1346262821
Title
President Owner
Phone
(810) 750-1763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101010026 MI Primary

Addresses

Primary practice location

3220 Silver Lake Rd
Fenton, MI 48430

Mailing address

3220 Silver Lake Rd
Fenton, MI 48430
Phone (810) 750-1763

Other identifiers 1

IdentifierTypeStateIssuer
4638359MedicaidMI

Other names 1

  • Urgent Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2049996Pic Indiana, PC Dba Wellnow Urgent Care3220 W Silver Lake Road, Fenton, MI 48430Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

17871 Dept Ch Box
Palatine, IL 60055

3220 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548283633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-750-1763",
            "fax_number": "810-750-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-750-1763",
            "fax_number": "810-750-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JO ANN JOHNSON, D.O., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "810-750-1763",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4638359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.