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

Mr. Michael James Johnson, PA

Individual provider Physician Assistant · NPI 1891714234

Mr. Michael James Johnson, PA is a Physician Assistant in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone: (719) 560-5656
Fax: (719) 560-4715
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 595 (CO)

Record details

NPI number1891714234
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 7, 2023
Mailing address445 E Cheyenne Mountain Blvd Ste C Pmb 406, Colorado Springs, CO 80906-4570

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