Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elijah Michael Johnson, MD

Individual provider Surgery Physician · NPI 1851415509

Dr. Elijah Michael Johnson, MD is a General Surgery in Henderson, Nevada. Graduated from George Washington University School of Medicine in 2004, 22 years ago. Practices with Northeastern Nevada Physician Practices LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
22
Trained at
George Washington University School of Medicine
Licensed in
NV
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

710 Coronado Center Dr Ste 200-EJ
Henderson, NV 89052-4289
Phone: (702) 334-0145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 13190 (NV)

Record details

NPI number1851415509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address2657 Windmill Pkwy # 141, Henderson, NV 89074-3384

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Northeastern Nevada Physician Practices Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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