DR. CHARLES MARVIN JOHNSON (NPI# 1245327543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245327543 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MARVIN JOHNSON |
| Credential | D.P.M. |
| Practice Address |
10244 W 7 Mile Rd Detroit MI 48221-1904 |
| Practice Telephone | 3138625800 |
| Practice Fax Number | 3138622865 |
| Mailing Telephone | 3138625800 |
| Mailing Fax Number | 3138622865 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001211 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4866541 | 05 | |
| MI | BLUE CROSS | 480H232610 | 01 |
| MI | LICENSE NUMBER | CJ001211 | 01 |
| MI | BCBSM | 4858250260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689293995 | Charles Johnson | Student in an Organized Health Care Education/Training Program | 1322 N Rutherford Blvd Apt I51, Murfreesboro, TN 37130-8430 | 2020-04-16 |
| 1518522796 | Charles Lee Johnson Sr. | Technician | 2010 Parkhill Dr, Dayton, OH 45406-2716 | 2019-05-03 |
| 1528591724 | Charles Johnson | Counselor | 512 Sapphire St, Opelousas, LA 70570-3536 | 2017-04-05 |
| 1265976047 | Charles Johnson | Counselor | 1320 Harvard Ave, Shreveport, LA 71103-2521 | 2016-12-13 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| 1437538410 | Charles David Johnson | Nurse Practitioner | 417 Fruitland Park Rd, Wiggins, MS 39577-8312 | 2015-05-24 |
| 1598006827 | Charles Dustin Johnson | Counselor | 2625 Redwing Rd Ste 110, Fort Collins, CO 80526-2878 | 2013-03-12 |
| 1932444924 | Charles William Johnson | Family Medicine | 106 Ne Wood Glen Ln, Lees Summit, MO 64064-1508 | 2012-12-03 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1235333147 | Charles Johnson | Physical Therapy Assistant | 2104 Four Winds Dr, Cedar Falls, IA 50613-6435 | 2007-06-13 |
| Street Address |
10244 W 7 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902955560 | Charles M Johnson Podiatrist PC | Podiatrist | 10244 W 7 Mile Rd, Detroit, MI 48221-1904 | 2007-01-10 |
| 1760531628 | Charles Johnson Dpm | Podiatrist | 10244 W 7 Mile Rd, Detroit, MI 48221-1904 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124422233 | Arnold S. Gross, Dpm PC | Podiatrist | 18254 Livernois Ave Ste 2, Detroit, MI 48221-4214 | 2014-10-17 |
| 1366629594 | Lawrence B Rubin Dpm PC | Podiatrist | 18530 Grand River, Detroit, MI 48223 | 2008-01-30 |
| 1912116807 | 7-huntington Podiatry Associates PC | Podiatrist | 19350 West Seven Mile Rd, Detroit, MI 48219 | 2007-05-21 |
| 1447471669 | Wendy W. Webster Dpm,pc | Podiatrist | 19933 Livernois Ave, Ste B, Detroit, MI 48221-1234 | 2007-05-02 |
| 1538200019 | James Schelberg | Podiatrist | 500 Griswold St, Ste 1b, Detroit, MI 48226-3480 | 2007-02-09 |
| 1578651253 | Ralph J Zicherman | Podiatrist | 18663 Livernois Avenue, Detroit, MI 48221 | 2006-10-10 |
| 1326153537 | Ronald A Hackelman | Podiatrist | 634 Chene Street, Detroit, MI 48207 | 2006-08-20 |
| 1336252857 | Podiatry Examiners of Michigan PC | Podiatrist | 3800 Woodward Avenue, Suite 318, Detroit, MI 48201-2066 | 2006-08-17 |
| 1992734727 | Sylvia L Loving | Podiatrist | 18300 W Mcnichols Rd, Detroit, MI 48219-4162 | 2006-07-02 |
| 1386631083 | Gary S Kaplan | Podiatrist | 14608 Gratiot Ave, Detroit, MI 48205-1931 | 2005-09-29 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.