DR. KORY JAMES JOHNSON


Address: 555 Midtowne St Ne, Suite 105, Grand Rapids, MI 49503-5729
Phone: 6164597101

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MI MEDICARE GROUP PTAN OD14869 01

Other Providers KORY JOHNSON

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

Office Location

Street Address 555 MIDTOWNE ST NE
SUITE 105
City GRAND RAPIDS
State MI
Zip Code 49503-5729

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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Dataset Information

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.

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