Andrea Johnson, CSPOMM DO MB
Andrea Johnson, CSPOMM DO MB is a Neuromusculoskeletal Medicine & OMM Physician in Okemos, MI, registered under NPI 1679568174. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2501 JOLLY RD SUITE 120, Okemos, MI 48864. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5101009343 | MI | Neuromusculoskeletal Medicine & OMM… primary |
| 5101009343 | MI | General Practice Physician |
This provider holds licence 5101009343 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Osteopathic Manipulative Medicine
- PAC ID
- 1456510957
- Enrollment ID
- I20120301000622
Medicare enrolment is recorded as approved under the provider type Practitioner - Osteopathic Manipulative Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neuromusculoskeletal Medicine & OMM covers
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. NUCC Health Care Provider Taxonomy, code 204D00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 5101009343 | MI | primary |
| 208D00000X | General Practice Physician | 5101009343 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1679568174 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 12, 2005 |
| Last updated | Jun 28, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | CSPOMM DO MB |
| Practice address |
2501 JOLLY RD SUITE 120 Okemos, MI 48864 (517) 381-0299 Fax (517) 381-9950 |
| Mailing address |
1150 E SHERMAN BLVD STE 2400 Muskegon, MI 49444 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 5 | 6 | 8 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 1 | 6 | 7 | 1 | 5 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.