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

Mr. Thomas M Johnson, PA-C

Individual provider Physician Assistant · NPI 1063489623

Mr. Thomas M Johnson, PA-C is a Physician Assistant in Erie, Pennsylvania. Qualified in 2004, 22 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2006
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 checks out

204 W 26th St
Erie, PA 16508-1806
Phone: (814) 864-4755
Fax: (814) 864-5430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051837 (PA)

Record details

NPI number1063489623
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Erie