Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649867151 Individual Practitioner Female Practitioner

Amanda Johnson , PA-C

Physician Assistant • Warren, MI

Professional Overview & Biography Verified Profile Summary

Amanda Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Warren, MI. Practice services are available at 4700 E 13 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 E 13 Mile Rd

Warren, MI 480924438

Telephone 5865760431
Associated Practice Facility / Clinic
🏢 Michigan Center Ivf, Pllc Facility NPI 1427357821

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
66 Specialists

Practicing in Warren, MI (7057 Statewide)

Telehealth Adoption Rate
4.5% 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

CMS Verified: 2021-09-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

42 W Warren Ave

Detroit, MI 482011347

Phone: 3135772424

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Carole Kowalczyk , MD

Obstetrics & Gynecology - Reproductive Endocrinology

NPI 1053472027

Doctor of Medicine (M.D.)

Alexa Karbowski , PA-C

Physician Assistant

NPI 1306129374

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 02, 2021

Registered at 4700 E 13 MILE RD, WARREN, MI 480924438 (Tel: 5865760431)

👤
Provider Name / Credentials Updated September 02, 2021

Recorded as AMANDA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2021

Physician Assistant

NPI Profile Active December 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2020

Registered at 42 W WARREN AVE, DETROIT, MI 482011347 (Tel: 3135772424)

📍
Updated Business Mailing Address December 30, 2020

Registered at 42 W WARREN AVE, DETROIT, MI 482011347

👤
Provider Name / Credentials Updated December 30, 2020

Recorded as AMANDA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 30, 2020

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: 1649867151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2020
Last Update: September 02, 2021
Sole Proprietor: Yes

Mailing Address

42 W Warren Ave

Detroit, MI 482011347

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.