Charles Johnson, D.O.
Family Medicine in Hudson, NY. Individual provider (NPI-1).
NPI number1164520391
StatusActive
Last updated in NPPESDec 17, 2007
Details
- NPI
- 1164520391
- Entity type
- Individual (NPI-1)
- Name
- Charles Johnson
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Dec 17, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 217292 | NY | Yes |
Practice location
949 Columbia StHudson, NY 12534-2624
Phone 518-828-7188 · Fax 518-828-5049
Mailing address
949 Columbia StHudson, NY 12534-2624
Phone 518-828-7188 · Fax 518-828-5049
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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