Steven Paul Johnson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101008296 Issued in MI

Practice address

910 E Lincoln Ave
Ionia, MI 48846-1393

Phone

(616) 527-2370

Fax

(616) 527-3824

NPI assigned

Sep 20, 2006

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Male

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 6

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Life Medical PLLC

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1629737838
  NPD (past)
• Sterling Emergency Services of Michigan, Inc.

  • Emergency Medicine Physician
  • Dowagiac, MI
  • NPI 1871653360
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1639277452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101008296",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SJ008296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1003025",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "383218134",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "3081174",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700C460060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPMM",
            "identifier": "200000002179",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113081174",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Johnson
• Crist E Johnson, D.D.S.
• Heather Lynn Johnson, RPH
• Justin Johnson, D.C.
• Kim Johnson
• Michele Joldersma
• Lisa Marie Jonker, PT
• Theresa E Joseph, RN
• Gerald Duane Joubert, LBSW
• Melissa Dawn Jousma, LMSW

• Emergency Medicine Physician in Ionia, MI
• Providers in Ionia, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.