Philip Gabriel Johnson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01084472A Issued in IN

Practice address

1765 E Lincoln Rd
Kokomo, IN 46902-3993

Phone

(765) 236-8380

Fax

(907) 543-6366

NPI assigned

Apr 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: philip.johnson.1@7598.direct.athenahealth.com
• Direct secure messaging: philip.johnson.2@7598.direct.athenahealth.com

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1902197726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023993",
            "telephone_number": "657-236-8380",
            "fax_number": "765-236-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023993",
            "telephone_number": "765-236-8380",
            "fax_number": "907-543-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHILIP",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A123676",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "102782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01084472A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kaye Johnson
• Margaret Dorothy Johnson, PTA
• Martha Stacy Johnson, PMHNP
• Megan Johnson
• Melanie Ann Johnson, LCSW
• Savanah Johnson
• Savannah Elizabeth Johnson, MA
• Valerie Johnson, NURSE PRACTITIONER
• Ashley L Johnston, FNP
• Heather Johnston, PT, DPT

• Family Medicine Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.