DR. MICAH OLAF JOHNSON (NPI# 1558652321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558652321 |
| Entity Type | Individual |
| Full Name | DR. MICAH OLAF JOHNSON |
| Credential | M.D. |
| Practice Address |
1026 7th St W Saint Paul MN 55102-3828 |
| Practice Telephone | 6512411000 |
| Practice Fax Number | 6512411032 |
| Mailing Telephone | 6512411000 |
| Mailing Fax Number | 6512411032 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 55927 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942690219 | Micah Johnson | Specialist/Technologist | Indian Route 19, Mile Post 19.5, Topawa, AZ 85639 | 2015-01-26 |
| 1013530310 | Micah Johnson | Radiologic Technologist | 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 | 2020-05-20 |
| 1952939555 | Micah Alexander Johnson | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6106 | 2020-03-30 |
| 1285114322 | Micah Johnson | Pharmacist | 2000 Canal St, New Orleans, LA 70112-3018 | 2018-08-17 |
| 1326469248 | Micah Johnson | Physician Assistant | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2013-12-19 |
| 1134491491 | Micah Johnson | Social Worker | 638 S Bluff Blvd, Clinton, IA 52732-4742 | 2012-02-02 |
| Street Address |
1026 7TH ST W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047638 | Phuong-giang Thi Pham | Dentist | 1026 7th St W, Saint Paul, MN 55102-3828 | 2005-10-19 |
| 1376162404 | Emma Ostby | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-09 |
| 1962021162 | Maura Clement Jacobi | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-09 |
| 1801415906 | Amelia Davis Hurst Underwood | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-09 |
| 1639708076 | Katherine Elise Strandberg | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-07 |
| 1013546456 | Katherine Elizabeth Rogers | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-07 |
| 1154950483 | Amy Ellingson | Student in an Organized Health Care Education/Training Program | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-07 |
| 1063041804 | Ilana Laurel Sperling | Social Worker | 1026 7th St W, Saint Paul, MN 55102-3828 | 2020-04-03 |
| 1770125965 | Paola Mora | Nurse Practitioner | 1026 7th St W, Saint Paul, MN 55102-3828 | 2019-10-09 |
| 1982250197 | Emily Mae Cabel | Physician Assistant | 1026 7th St W, Saint Paul, MN 55102-3828 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889420 | Thanh Phung | Family Medicine | 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | 2017-06-02 |
| 1518338268 | Northstar Professional Services | Family Medicine | 924 Rice St, Saint Paul, MN 55117-4987 | 2015-10-07 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1306287719 | John Gordon Faughnan | Family Medicine | 1660 Stanford Ave, Saint Paul, MN 55105-2038 | 2013-07-13 |
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1326277815 | Branden James Pfefferkorn | Family Medicine | 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 | 2009-07-07 |
| 1780812651 | James Edward Hougas IIi | Family Medicine | Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 | 2009-06-30 |
| 1871748509 | Deborah Lee Wexler | Family Medicine | 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 | 2008-11-21 |
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1174703805 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 1385 Phalen Boulevard, Saint Paul, MN 55106 | 2007-11-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on DR. MICAH OLAF JOHNSON.
| 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.