NPIMap

Individual provider Active NPI

Michael Stephen Johns, D.O.

  • Colon & Rectal Surgery Physician
  • Allentown, PA
National Provider Identifier
1639601214
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
OS023109 Issued in PA
Practice address
1255 S Cedar Crest Blvd Ste 3900
Allentown, PA 18103-6250
Phone
(484) 788-0852
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X OS023109 PA Primary

Addresses

Primary practice location

1255 S Cedar Crest Blvd Ste 3900
Allentown, PA 18103-6250

Mailing address

1255 S Cedar Crest Blvd Ste 3900
Allentown, PA 18103-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000379 PA Practitioner - Colorectal Surgery (Proctology) 3072882448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colon Rectal Surgery Associates PCGroup PAC ID 7618954421, 5 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1255 S Cedar Crest Blvd
Suite 3900
Allentown, PA 18103-6250
Phone (484) 788-0840

401 N 17TH St
105 LV Specialty Care Physicians Practice
Allentown, PA 18104-5049
Phone (610) 969-4470

Hospital & facility affiliations

  • Lehigh Valley Home Care Home health agency, Allentown, PA, CCN 397023
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy71
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023109PAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Surgery CurrentSince Sep 5, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Colon Rectal Surgery Associates PC Colon & Rectal Surgery CurrentSince Oct 1, 2023 Accepting new patients
Integrated Medical Group P C CurrentSince Oct 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Integrated Medical Group, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
College Heights Endoscopy Center LLC Past Accepting new patients

Locations

1255 S Cedar Crest Blvd
Ste 3900
Allentown, PA 18103
Phone (484) 788-0840

3147 College Heights Blvd
Allentown, PA 18104
Phone (610) 841-2432

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

2045 Westgate Dr
Ste 305
Bethlehem, PA 18017
Phone (610) 867-0832

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

Interoperability endpoints

  • Direct secure messaging: mjohns@colonrectalsurgery.medentdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1639601214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD STE 3900",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD STE 3900",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036250",
            "telephone_number": "484-788-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "OS023109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.