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

Individual provider Obstetrics & Gynecology Physician · NPI 1407830813

Dr. Timothy A Johnson, MD is an Obstetrics/Gynecology in Livonia, Michigan. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1990, 36 years ago. Practices with Iha Olma Specialty 1 LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
36
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MI
In the registry since
2005
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

15370 Levan Rd Ste 1
Livonia, MI 48154-1903
Phone: (734) 464-9055
Fax: (734) 464-7522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301056140 (MI)

Record details

NPI number1407830813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1990 (36 years in practice)
Group practice Iha Olma Specialty 1 Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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