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

Shirley Ann Johnson, OHIOLICDC-CSANDLSW

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1942656244

Shirley Ann Johnson, OHIOLICDC-CSANDLSW is an Addiction Medicine (Family Medicine) Physician in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
Specialties on file
2

Practice location Address checks out

8658 N Main St
Dayton, OH 45415-1328
Phone: (937) 701-0030
Fax: (937) 387-9043
Show map & directions

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

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence LICDC-CS 933508 (OH)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence LSW S0021857 (OH)

Record details

NPI number1942656244
Entity typeIndividual (Type 1)
GenderFemale
Credentials OHIOLICDC-CSANDLSW
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016

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