Healthcare Provider Details

I. General information

NPI: 1821036062
Provider Name (Legal Business Name): JAMES JOHNSON PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE UNIVERSITY HOSPITAL 231 ALBERT SABIN WAY
CINCINNATI OH
45267-0001
US

IV. Provider business mailing address

7145 RUWES OAK DR
CINCINNATI OH
45248-1074
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-8090
  • Fax: 513-558-6434
Mailing address:
  • Phone: 513-574-2224
  • Fax: 513-574-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPA9102019
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50. 002438
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: