# THOMAS E. JOHNSON

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

## Provider details

- **NPI number:** 1326074337
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 873 | WV | Yes |
| 363A00000X | Physician Assistant | PA875 | KY | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 04/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000524203 | BCBS | KY |
| 01 | — | 001930720 | BCBS | — |
| 05 | — | 0111530 | — | OH |
| 01 | — | 1069986 | DWC | — |
| 05 | — | 95006169 | — | KY |
| 01 | — | P00330689 | RAILROAD | — |
| 01 | — | P00372239 | RAILROAD MEDICARE | WV |