Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Douglas W Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1003816471

Mr. Douglas W Johnson, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 1987, 39 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
39
Licensed in
OH
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1 Elizabeth Pl 4th Fl
Dayton, OH 45408-1445
Phone: (937) 221-7001
Fax: (937) 224-5307

No coordinates on file. Search this address in Google Maps

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50-00-0344 (OH)

Record details

NPI number1003816471
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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