# CRAIG ALAN JOHNSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295725851
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02002070 | IN | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 153869 | RURAL HEALTH | IN |
| 05 | — | 200286610 | — | IN |
| 05 | — | 200300810 | — | IN |
| 05 | — | 200853600A | — | IN |
| 01 | — | P00416616 | RAILROAD MEDICARE | IN |