National Provider Identifier

Michael Paul Johnson, MD

Michael Paul Johnson, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 323-0031.

NPI 1679137376Buffalo, NYPediatrics Physician

Profile Overview

NPI
1679137376
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
April 28, 2019
Last Updated
March 01, 2023

Practice Location

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Phone: (716) 323-0031

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1679137376
Entity Type
Individual
Last Name
Johnson
First Name
Michael
Middle Name
Paul
Credential
MD
Mailing Street Address
1001 Main St Fl 5
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Practice Street Address
1001 Main St Fl 5
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-0031
Enumeration Date
April 28, 2019
Last Updated
March 01, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
March 01, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)