National Provider Identifier Database

TISA M JOHNSON HOOPER, MD – NPI #1134276934
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

TISA M JOHNSON HOOPER, MD
HENRY FORD HEALTH SYSTEM
3031 WEST GRAND BLVD.
DETROIT, MI48202
Phone: 313-916-2454
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for TISA M JOHNSON HOOPER

NPI Number 1134276934
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 03/16/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301075433
  • MI Medicaid: 418507510
  • Other: 700H262280 BLUE CROSS-BLUE CROSS
  • Other: TJ075433 CHAMPUS-CHAMPUS
  • Other: TJ075433 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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