Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS JOHNSON
Active Sole ProprietorMedical Physician Assistant · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1881019107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2014 (12.155944718887 yrs)
- Last Updated
- Jan 14, 2021
- License
-
2014003457 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3015 N BALLAS RDSAINT LOUIS, MO, 631312329Browse MO providers · Browse ZIP 63131
- Phone
- 3149967033
- Fax
- 3149965909
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| KAREN PLATT | PA-C | 1861465643 |
| TODD PARKER | PA-C | 1366417552 |
| MRS. ALEXA MARIE FIDER-WHYTE | DMSC, PA-C | 1306814199 |
| MR. KENNETH MICHAEL OLSON | P.A. - C | 1649232877 |
| MRS. ASEEMA -- SONGSTAD | PA-C | 1760446249 |
| DEBORAH SUSAN DROSTE | PA-C | 1740244029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.