Active NPI
Paul M. Johnston, M.D.
- Anesthesiology Physician
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301051353
- Practice address
- Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323 - Phone
- (248) 661-6450
- Fax
- (248) 661-6649
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301051353 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323
Mailing address
Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323
Phone (248) 661-6450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PJ051353 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| P00207727 | Other | MI | RAILROAD MEDICARE |
| PJ051353 | Other | CHAMPUS-CHAMPUS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Lake Anesthesiology Consultants, PLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Associates, PC | Anesthesiology | Past | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Past | Accepting new patients |
| Ambulatory Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
| Novi Anesthesia Services PLC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of Michigan PC | Anesthesiology | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Lapeer, MI
- NPI 1497797153
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1144261967
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
-
- Anesthesiology Physician
- Royal Oak, MI
- NPI 1487609475
-
- Anesthesiology Physician
- Novi, MI
- NPI 1487830345
-
- Anesthesiology Physician
- Lafayette, IN
- NPI 1083719074
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1871559849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6777 WEST MAPLE ROAD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-661-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6777 WEST MAPLE ROAD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-661-6450",
"fax_number": "248-661-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "PAUL",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301051353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "PJ051353",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00207727",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "PJ051353",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.
- 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.