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

Michael Shane Johnson, MD

Individual provider General Practice Physician · NPI 1770877151

Michael Shane Johnson, MD is a General Practice Physician in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2011
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

13600 Prairie View Ln
Oklahoma City, OK 73142-5917
Phone: (888) 330-7831
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 30380 (OK)

Record details

NPI number1770877151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 3, 2011
Last updated in NPPESApril 1, 2014
Mailing address13600 Prairie View Ln, Oklahoma City, OK 73142-5917

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