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

Robert L Johnson, PAC

Individual provider Physician Assistant · NPI 1578510541

Robert L Johnson, PAC is a Physician Assistant in Royal Oak, Michigan. Qualified in 1997, 29 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
29
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
Show map & directions

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

Additional practice locations (2)

  • 1 Genesys Pkwy Ste 3452, Grand Blanc, MI 48439-8065 — (248) 849-2600
  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-8432

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1578510541
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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