Individual
TISHA K. JOHNSON
Active
Individual
TISHA K. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061473
IN
207R00000X
Internal Medicine Physician
35.087561
OH
207R00000X
Internal Medicine Physician
Primary
44426
KY
2083P0901X
Public Health & General Preventive Medicine Physician
44426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315186
OH MEDICAID UNISON
OH
05
—
200853490
—
IN
01
—
3082800
OH MEDICAID MOLINA
OH
05
—
3082800
—
OH
05
—
3810018631
—
WV
01
—
P00867121
RAILROAD MEDICARE
OH
Enumeration date
08/09/2006
Last updated
10/08/2014
Update your record
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