Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962760124 Individual Practitioner Male Practitioner

Dr. Jacob Daniel Johnson , DO

Surgery - Vascular Surgery • Taylor, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Johnson, DO is a registered healthcare professional specializing in Surgery - Vascular Surgery in Taylor, MI. Practice services are available at 15411 PARK VILLAGE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15411 Park Village Blvd

Taylor, MI 481804886

Telephone 6467141984

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Taylor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Taylor, MI (208 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MI 5101020933

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 5101020933

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 21, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2015

Registered at 15411 PARK VILLAGE BLVD, TAYLOR, MI 481804886 (Tel: 6467141984)

📍
Updated Business Mailing Address November 21, 2015

Registered at 15411 PARK VILLAGE BLVD, TAYLOR, MI 481804886

👤
Provider Name / Credentials Updated November 21, 2015

Recorded as JACOB JOHNSON, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2015

Surgery (License #5101020933 in MI)

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Initial NPI Registration & Enumeration April 25, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962760124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2012
Last Update: November 21, 2015
Sole Proprietor: Yes

Mailing Address

15411 Park Village Blvd

Taylor, MI 481804886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.