ISAIAH MICAH JOHNSON M.D. NPI 1811065725

NPI Information

  • NPI: 1811065725
  • Provider Name: ISAIAH MICAH JOHNSON, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 HIGHLAND AVE SE
    SUITE 303
    ROANOKE, VA
    ZIP 24013
  • Phone: (540) 985-9715

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NPI Details

Isaiah Micah Johnson, M.D. is an obstetrics gynecology in Roanoke, VA with 22 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Isaiah Micah Johnson, M.D. NPI is 1811065725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

102 HIGHLAND AVE SE
SUITE 303
ROANOKE, VA
ZIP 24013-256
Phone: (540) 985-9715
Fax: (540) 985-9890

The NPI 1811065725 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology30001SOUTH CAROLINANo
2207V00000XObstetrics & Gynecology0101245336VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120064957OTHERSOUTH CAROLINASELECT HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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