| Doctor Name: | ISAIAH MICAH JOHNSON |
| NPI Number: | 1811065725 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101245336 |
| Business Practice Address: | 102 Highland Ave Se Suite 303 Roanoke, VA - 240132256 |
| Business Phone Number: | 5409859715 |
| Business Fax Number: | 5409859890 |
| Mailing Address: | 1906 Belleview Ave Se, ROANOKE |
| State: | VA |
| Postal Code: | 240141838 |
| Phone Number: | 5409812987 |
| Fax Number: | 5403445280 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 0101245336 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |