David Johns, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005081 Issued in MI

Practice address

1221 South Dr
Mt Pleasant, MI 48858-3258

Phone

(989) 772-6700

Fax

(989) 772-6807

NPI assigned

Oct 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Isabella Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mt Pleasant, MI
  • NPI 1104177195
  Medicare reassignment
• Isabella Citizens for Health Inc

  dba Farwell Health Center of Isabella Citizens for Health Inc

  • Federally Qualified Health Center (FQHC)
  • Farwell, MI
  • NPI 1548090491
  NPD
• Isabella Citizens for Health Inc

  dba Health Park Pharmacy

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
  • NPI 1942842471
  NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1982893863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583258",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583258",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE NUMBER",
            "identifier": "5601005081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Jenkins
• Emily S Jennings, CLC
• Renay Jensen
• Edward Jeon, PA
• Joe S. Chomchai, M.D., P.C.
• Britney Elaine Johnson, RN
• Cassandra Jeannine Johnson
• Divah A Johnson
• Lisa A Johnson, RPH
• Pamela Christine Johnson, MC LPC CAADC

• Physician Assistant in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.