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Deactivated NPI 1952546913 Deactivated / Inactive NPI Male Practitioner

Michael A Johnson , LMP

Specialist • Issaquah, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2008
NPI Deactivation Date October 25, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Michael Johnson, LMP was a registered Specialist practicing in Issaquah, WA. Throughout an active medical career spanning 9 years, Michael Johnson provided care at the practice location at 60 2ND AVE NE until profile deactivation on 2017-10-25.

Practice Location & Contact Primary Location

Practice Address

60 2nd Ave Ne

Issaquah, WA 980273436

Telephone 4254278209

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Issaquah, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Issaquah, WA (2751 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00010019

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 25, 2017

Record deactivated on October 25, 2017

NPI Profile Active December 04, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2008

Registered at 60 2ND AVE NE, ISSAQUAH, WA 980273436 (Tel: 4254278209)

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Updated Business Mailing Address December 04, 2008

Registered at 60 2ND AVE NE, ISSAQUAH, WA 980273436 (Tel: 4254278209)

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Provider Name / Credentials Updated December 04, 2008

Recorded as MICHAEL JOHNSON, LMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2008

Specialist (License #MA00010019 in WA)

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Initial NPI Registration & Enumeration December 04, 2008

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: 1952546913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2008
Last Update: December 04, 2008
Deactivation Date: October 25, 2017

Mailing Address

60 2nd Ave Ne

Issaquah, WA 980273436

Phone: 4254278209

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

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