Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Daniel Johnson, DO

Individual provider Vascular Surgery Physician · NPI 1962760124

Dr. Jacob Daniel Johnson, DO is a Vascular Surgery Physician in Taylor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15411 Park Village Blvd
Taylor, MI 48180-4886
Phone: (646) 714-1984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 5101020933 (MI)
Surgery Physician Taxonomy 208600000X · Licence 5101020933 (MI)

Record details

NPI number1962760124
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESNovember 21, 2015

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