Philip E P Johnson

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PHILIP E P JOHNSON

Practice address

600 S Lakeview St
Suite 104
Sturgis, MI 49091-2371

Phone

(269) 659-4209

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Cathie Murray

Title

Administrative Director SMG

Phone

(269) 659-6537

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1619159290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S LAKEVIEW ST",
            "address_2": "SUITE 104",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912371",
            "telephone_number": "269-659-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LAKEVIEW ST",
            "address_2": "SUITE 104",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912371",
            "telephone_number": "269-659-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP E P JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "CATHIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR SMG",
        "authorized_official_telephone_number": "269-659-6537"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sherrill Pattison, PSY.D.
• Ann Causey Perra, LPC
• Robert Gray Perra, ED.D.
• John Joseph Petruska, D.D.S.
• Nikita S Petties
• James E Phillips, M.D.
• Joann Pollard
• Jozilin Danielle Pratt
• Taryn Pratt
• Psychological Services

• Health Service Clinic/Center in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.