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

Individual provider Medical Physician Assistant · NPI 1205955101

Yvonne Louise Johnson, PA-C is a Physician Assistant in West Bloomfield, Michigan. Qualified in 1998, 28 years ago. Practices with Southfield Radiology Associates, PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2007
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

6777 W Maple Rd Surgical Services Dept/physicain Vlg
West Bloomfield, MI 48322-3013
Phone: (248) 325-1561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601002912 (MI)

Record details

NPI number1205955101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southfield Radiology Associates, Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in West Bloomfield