Dr. Jeffrey Dean Johnson
Family Medicine

Address: 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216
Phone: 6162856450

Dr. Jeffrey Dean Johnson (NPI# 1588650527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1588650527
Entity Type Individual
Full Name Dr. Jeffrey Dean Johnson
Credential MD
Gender Male
Practice Address 2849 Michigan St Ne
Suite 102
Grand Rapids
MI 49506-1216
Practice Telephone 6162856450
Practice Fax Number 6162856455
Mailing Address 2849 Michigan St Ne
Suite 102
Grand Rapids
MI 49506-1216
Mailing Telephone 6162856450
Mailing Fax Number 6162856455
Sole Proprietor Not Answered
Enumeration Date 2005-09-26
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 4301068529 MI

Other Provider Identifier

State Identifier Issuer Type Code
MI 0804108642 OTHER BLUE CROSS BLUE SHIELD

Providers with the same name

NPI Name Taxonomy Address Enumeration
1114570652 Jeffrey C. Johnson Dentist 250 Route 4 Ste 101, Hagatna, GU 96910-7110 2019-07-23
1144725391 Jeffrey Phillip Johnson Speech-Language Pathologist 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 2018-03-29
1730684903 Jeffrey Pace Johnson Student in an Organized Health Care Education/Training Program 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 2018-03-28
1992256374 Jeffrey S. Johnson Counselor 108 Okemos St, Mason, MI 48854-1263 2016-10-20
1598156713 Jeffrey Johnson Counselor 3057 Acushnet Ave, New Bedford, MA 02745-3636 2015-02-10
1336542885 Jeffrey Johnson Physical Therapy Assistant 563 S Grant St, Denver, CO 80209-4105 2014-09-29
1992110894 Jeffrey Johnson Dentist 2120 Virginia Dr, Wichita Falls, TX 76309-4646 2014-06-30
1093125916 Jeffrey William Johnson Psychologist 105 High Street, Warren, OH 44483-5195 2014-04-30
1922373851 Jeffrey A. Johnson Social Worker 28 Roe Ln, Howell, NJ 07731-9071 2012-03-10
1962776039 Jeffrey Johnson Veterinarian 1405 Bradford Way, Redding, CA 96003-4074 2012-03-06
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Physician Overview

NPI 1588650527
PAC ID by PECOS 9335334705
Professional Enrollment ID I20101110001372
Full Name Jeffrey D Johnson
Organization Legal Name BALDWIN FAMILY HEALTH CARE
Phone Number 2318340444
Gender M
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 1153215413
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
231338 SPECTRUM HEALTH GERBER MEMORIAL

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740810563 Spectrum Health Primary Care Partners Family Medicine 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 2020-01-21
1932748050 Alexander Corcoran Pa-c LLC Family Medicine 2340 College Ave Se, Grand Rapids, MI 49507-3108 2020-01-06
1649757071 St. Lukes Primary Care Family Medicine 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 2018-07-27
1619463775 Zlex, Pllc Family Medicine 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 2018-07-02
1558856518 Leland Cary Gyr Family Medicine 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 2018-06-22
1982126355 Jeffrey Dufresne Family Medicine 300 Lafayette Ave. Se, Grand Rapids, MI 49503 2017-07-07
1386165157 Samantha V Mcpharlin Family Medicine 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 2017-07-03
1871908970 Marc Arenas Family Medicine 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 2014-06-26
1467865188 Karri Macmillan Family Medicine 300 Lafayette Ave Se Ste 4200, Grand Rapids, MI 49503-4692 2014-06-10
1598101784 Samantha Ann Nuffer Family Medicine 2750 E Beltline Ne, Grand Rapids, MI 49525-8614 2013-05-15
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Office Location

Street Address 2849 MICHIGAN ST NE
SUITE 102
City GRAND RAPIDS
State MI
Zip Code 49506-1216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063408136 James Edward Flood Family Medicine 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 2005-09-23
1275001034 Kirk Agerson Md PC Clinic/Center 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 2018-11-08
1811276694 Ashley Huggler Physician Assistant 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 2011-08-10
1194031104 Melissa Leigh Owens Physical Therapist 2849 Michigan St Ne, Grand Rapids, MI 49506-1216 2010-08-27
1629220835 Owens Physical Therapy Specialists, LLC Physical Therapist 2849 Michigan St Ne, Suite 100, Grand Rapids, MI 49506-1216 2008-10-21
1558578641 Molly Jean Paulson Physician Assistant 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 2007-05-17
1588722136 James Owens Physical Therapist 2849 Michigan St Ne, Suite 100, Grand Rapids, MI 49506-1216 2006-12-05
1306951256 A F Associates Family Medicine PC Family Medicine 2849 Michigan St Ne, 102, Grand Rapids, MI 49506-1216 2006-08-20
1245226380 Kirk Joseph Agerson Family Medicine 2849 Michigan St Ne, Suite 102, Grand Rapids, MI 49506-1216 2005-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavior Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
1588055305 Jennifer A Jensen Social Worker 360 East Beltline Ave, Suite 100, Grand Rapids, MI 49506 2015-02-16
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Competitor

Search similar providers

City GRAND RAPIDS
Zip Code 49506

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Dataset Information

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.