MIRIAM D JOHNSON MD
NPI 1518044791
Specialist in Kirkland, WA

NPI Status: Active since November 01, 2006

Contact Information

12707 120TH AVE NE
SUITE 202
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-4200
Fax: (425) 899-4202

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  • Individual
  • Female
  • Specialist
  • Accepts Insurance

About MIRIAM JOHNSON

This page provides the complete NPI Profile along with additional information for Miriam Johnson, a provider established in Kirkland, Washington with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1518044791 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number MD00024675 (WA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1518044791
Provider Name
MIRIAM D JOHNSON MD
Gender
Female
Entity Type
Individual
Location Address
12707 120TH AVE NE SUITE 202 KIRKLAND, WA 98034
Location Phone
(425) 899-4200
Location Fax
(425) 899-4202
Mailing Address
11411 NE 124TH ST STE 230 KIRKLAND, WA 98034
Mailing Phone
(425) 899-4200
Mailing Fax
(425) 899-4202
Is Sole Proprietor?
Yes
Enumeration Date
11-01-2006
Last Update Date
06-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD00024675
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1049154MEDICAID (05)WA 
JO4111OTHER (01)WAREGENCE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518044791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528048718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 4 + 8 + 7 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1518044791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063441236DR. THOMAS GERALD DEPUYDT M.D.
Individual
Neuromusculoskeletal Medicine, Sports Medicine12707 120TH AVE NE SUITE 203
KIRKLAND, WA 98034
(425) 820-1221
1649202359DR. STEVEN THOMAS BRAMWELL M.D.
Individual
Orthopaedic Surgery12707 120TH AVE NE SUITE 203
KIRKLAND, WA 98034
(425) 820-1221
1396777082DR. DAVID SMITH BADGER M.D.
Individual
Orthopaedic Surgery12707 120TH AVE NE SUITE 203
KIRKLAND, WA 98034
(425) 820-1221
1427135052 HOWARD L ROTH P.T.
Individual
Physical Therapist12707 120TH AVE NE SUITE 100
KIRKLAND, WA 98034
(425) 820-2110
1528397569 DEVIN SHAWN JENSEN PA-C
Individual
Physician Assistant (Medical)12707 120TH AVE NE #203
KIRKLAND, WA 98034
(425) 820-1221
1437236619 MICHAEL D LEWIS MS, PT
Individual
Physical Therapist12707 120TH AVE NE SUITE 100
KIRKLAND, WA 98034
(425) 820-2110
1447636394 ALLEGRA SHANK P.T.A
Individual
Physical Therapy Assistant12707 120TH AVE NE STE 100
KIRKLAND, WA 98034
(425) 820-2110
1497832687 JILLIANN POSTFOROOSH P.T.
Individual
Physical Therapist12707 120TH AVE NE SUITE 100
KIRKLAND, WA 98034
(425) 820-2110
1316166754WASHINGTON SPORTS MEDICINE INSTITUTE, LLC
Organization
Clinic/Center12707 120TH AVE NE SUITE 100
KIRKLAND, WA 98034
(425) 820-2110
1033148192WASHINGTON SPORTS MEDICINE ASSOCIATES INC
Organization
Orthopaedic Surgery12707 120TH AVE NE SUITE 203
KIRKLAND, WA 98034
(425) 820-1221
1952310211WASHINGTON INSTITUTE ORTHOPEDIC CENTER
Organization
Clinic/Center (Ambulatory Surgical)12707 120TH AVE NE SUITE 205
KIRKLAND, WA 98034
(425) 899-5566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518044791, enumerated in the NPI registry as an "individual" on November 01, 2006

The provider is located at 12707 120th Ave Ne Suite 202 Kirkland, Wa 98034 and the phone number is (425) 899-4200

The provider's speciality is Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.