Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Wade Johnson, PA-C

Individual provider Physician Assistant · NPI 1699224931

Charles Wade Johnson, PA-C is a Physician Assistant in Fort Meade, South Dakota. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

113 Comanche Rd
Fort Meade, SD 57741-1002
Phone: (605) 347-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699224931
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016

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