David Michael Johnson, DO
David Michael Johnson, DO is a Sports Medicine in Mishawaka, Indiana. Qualified in 2017, 9 years ago. Practices with Saint Joseph Regional Medical Center- Plymouth Campus Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 9
- Licensed in
- IN
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
611 E Douglas Rd Ste 137Mishawaka, IN 46545-1464
Phone: (574) 335-6214
Fax: (574) 335-6215
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 02005551A (IN) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 02005551A (IN) |
Record details
| NPI number | 1467981464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 5, 2017 |
| Last updated in NPPES | November 8, 2023 |
| Certification date | November 8, 2023 |
| Mailing address | 707 Cedar St Ste 405, South Bend, IN 46617-2059 |
Medicare enrollment
| Medicare specialty | SPORTS MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Saint Joseph Regional Medical Center- Plymouth Campus Inc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Mishawaka
-
Christopher Jordan, MD
611 E Douglas Rd Ste 137, Mishawaka, IN 46545-1464 · (574) 335-6214
-
Dr. Stephen M Simons, MD
611 E Douglas Rd Ste 137, Mishawaka, IN 46545 · (574) 335-6214