DR. KORY JAMES JOHNSON (NPI# 1952539603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952539603 |
| Entity Type | Individual |
| Full Name | DR. KORY JAMES JOHNSON |
| Credential | D.O. |
| Practice Address |
555 Midtowne St Ne Suite 105 Grand Rapids MI 49503-5729 |
| Mailing Address |
1111 Leffingwell Ave Ne Grand Rapids MI 49525-6406 |
| Practice Telephone | 6164597101 |
| Practice Fax Number | 6164646170 |
| Mailing Telephone | 6164597101 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 5101018118 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
5101018118 | MI | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036135656 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE GROUP PTAN | OD14869 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720490865 | Kory Johnson | Chiropractor | 3615 Harding Ave Ste 202, Honolulu, HI 96816-3760 | 2014-05-23 |
| 1861765752 | Kory D Johnson | Specialist/Technologist, Other | 5235 Mission Oaks Blvd # 574, Camarillo, CA 93012-5400 | 2012-02-22 |
| 1215449822 | Kory Lee Johnson | Counselor | 529 E Stroop Rd, Kettering, OH 45429-3245 | 2017-11-05 |
| 1164958385 | Kory Johnson | Occupational Therapist | 1200 1st St Ne Fl 9, Washington, DC 20002-7953 | 2017-05-09 |
| 1346298445 | Kory Johnson | Nurse Anesthetist, Certified Registered | 2606 Hospital Blvd, Corpus Christi, TX 78405-1818 | 2006-05-04 |
| Street Address |
555 MIDTOWNE ST NE SUITE 105 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133992 | Michelle A Klyn | Obstetrics & Gynecology | 555 Midtowne St Ne, Ste 450, Grand Rapids, MI 49503 | 2005-06-10 |
| 1154761773 | Orthopaedic Associates of Grand Rapids, PC | Orthopaedic Surgery | 555 Midtowne St Ne, Suite 105, Grand Rapids, MI 49503-5729 | 2013-06-27 |
| 1245572007 | Pennant Physician Services | Pediatrics | 555 Midtowne St Ne, Suite 310, Grand Rapids, MI 49503-5729 | 2013-03-20 |
| 1467798231 | Roxanne Kay Cornelius | Physician Assistant | 555 Midtowne St Ne, Suite 110, Grand Rapids, MI 49503-5729 | 2012-12-21 |
| 1780933432 | Dermatology At Midtowne, PC | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-09-09 |
| 1912265521 | Amy Marie Strikwerda | Dermatology | 555 Midtowne St Ne, Suite 301, Grand Rapids, MI 49503-5729 | 2012-05-02 |
| 1720390511 | Heather Jereb | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 400, Grand Rapids, MI 49503-5731 | 2010-07-08 |
| 1235441262 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 555 Midtowne St Ne, Suite 302, Grand Rapids, MI 49503-5729 | 2010-07-07 |
| 1013234707 | Bradley Bengtson, M.d. PC | Plastic Surgery | 555 Midtowne St Ne, Suite 110, Grand Rapids, MI 49503-5729 | 2010-04-21 |
| 1700102993 | Midtowne Pharmacy | Pharmacy | 555 Midtowne St Ne, Suite 103, Grand Rapids, MI 49503-5729 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174865174 | Benjamin Matthew Strong | Orthopaedic Surgery | 555 Midtowne St Ne Ste 105, Grand Rapids, MI 49503-5731 | 2013-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154710333 | Derek L Hill Do Pllc | Orthopaedic Surgery | 11446 E 13 Mile Rd Ste C, Warren, MI 48093-6571 | 2015-01-12 |
| 1891003240 | Timothy Ephriam Ekpo | Orthopaedic Surgery | 12303 Pinehurst Ln, Grand Blanc, MI 48439-2634 | 2010-09-20 |
| 1194885459 | James Bennett Stanton | Orthopaedic Surgery | 174 S Wilson Blvd, Mount Clemens, MI 48043-2105 | 2006-12-09 |
| 1477658458 | Thomas R Perkins | Orthopaedic Surgery | 1349 S Rochester Rd Ste 205, Rochester Hills, MI 48307-3152 | 2006-09-14 |
| 1043253602 | Sam Hakki Hackette | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2006-06-13 |
| 1124020276 | Edward Gerard Loniewski | Orthopaedic Surgery | 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 | 2005-06-01 |
| 1356973119 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 | 2020-02-10 |
| 1457835423 | Jointly Orthopaedics PC | Orthopaedic Surgery | 937 N Opdyke Rd, Auburn Hills, MI 48326-2641 | 2018-09-17 |
| 1053817494 | Daniel R Mesko Do PC | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 | 2018-04-04 |
| 1639681257 | Michigan Musculoskeletal Institute LLC | Orthopaedic Surgery | 28037 Dequindre Rd, Madison Heights, MI 48071-3079 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.