Dr. Kory James Johnson is a Grand Rapids, Michigan based male orthopedic surgeon with 15 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Michigan State University College Of Osteopathic Medicine in 2009. He is also affiliated with hospitals like Metro Health Hospital and Spectrum Health. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kory James Johnson is 5101018118 for Adult Reconstructive Orthopaedic Surgery in Michigan.
Dr. Kory James Johnson deals 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.
Complete Profile:
Dr. Kory James Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
D.O.
Experience:
15+ years
Medical School Attended:
Michigan State University College Of Osteopathic Medicine
Graduation Year:
2009
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
555 Midtowne St Ne, Suite 105, Grand Rapids, Michigan, 49503-5729
Phone:
616-459-7101
Fax:
616-464-6170
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628212479
Enrollment ID:
I20150602002763
NPI Number:
1952539603
NPI Enumeration Date:
01 Jul, 2009
NPI Last Update On:
28 Jun, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kory James Johnson are as mentioned below.
License Number
Specialization
State
Status
5101018118
Adult Reconstructive Orthopaedic Surgery
Michigan
Primary
036135656
Adult Reconstructive Orthopaedic Surgery
Illinois
Secondary
5101018118
Orthopedic Surgery
Michigan
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Metro Health Hospital (230236)
Wyoming, MI
Acute Care Hospital
Spectrum Health (230038)
Grand rapids, MI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kory James Johnson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopaedic Associates Of Grand Rapids Pc (9537136403)
85
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kory James Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
OD14869
Other
Michigan
MEDICARE GROUP PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1111 Leffingwell Ave Ne, Grand Rapids, Michigan
Zip:
49525-6406
Phone Number:
616-459-7101
Fax Number:
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Patients can reach Dr. Kory James Johnson at 555 Midtowne St Ne, Suite 105, Grand Rapids, Michigan or can call to book an appointment on 616-459-7101. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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