Pamela D. Johnson, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PJ048870 Issued in MI

Legal business name

PAMELA D. JOHNSON, M.D., P.C.

Practice address

245 Barclay Cir
Suite 400
Rochester Hills, MI 48307-5815

Phone

(248) 852-2040

Fax

(248) 853-7258

NPI assigned

May 23, 2008

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela D Johnson, M.D.

Title

C E O

Phone

(248) 852-2040

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1760640064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075815",
            "telephone_number": "248-852-2040",
            "fax_number": "248-853-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BARCLAY CIR",
            "address_2": "SUITE 400",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075815",
            "telephone_number": "248-852-2040",
            "fax_number": "248-853-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA D. JOHNSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "248-852-2040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "PJ048870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "74717A",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "0633185",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES PPO",
            "identifier": "102263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4133392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2422609003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "B8910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie E Palazzolo-Meyer, D.C.
• Jill Palazzolo, R.P.H.
• Nadine Palazzolo, CCC-SLP
• Lawrence Mark Palmer, D.D.S.
• Rebecca Karen Palmer, BA
• Lynne J Pandoff
• Taya Rose Pantaleo, FNP-BC
• John Steven Papakonstantinou, MD
• Nicholas S. Papakonstantinou, M.D.
• Mike Papastamatis, DMD

• Specialist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.