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

Elliot Paul Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1780093187

Elliot Paul Johnson, PA-C is a Physician Assistant in St Charles, Illinois. Qualified in 2014, 12 years ago. Practices with Genesis Orthopedics and Sports Medicine LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone: (630) 377-1188
Fax: (630) 377-7360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085005130 (IL)

Record details

NPI number1780093187
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Genesis Orthopedics And Sports Medicine Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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