Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750387049 Individual Practitioner Male Practitioner

Dr. Kevin Raymond Johnson , MD

Surgery • Oregon City, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Johnson, MD is a registered healthcare professional specializing in Surgery in Oregon City, OR. Practice services are available at 1510 DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1510 Division St
Ste 210

Oregon City, OR 970451599

Telephone 5037236525
Fax 5037236508
Associated Practice Facility / Clinic
🏢 Oregon City Foot Clinic, Pc Facility NPI 1518945922

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oregon City, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Oregon City, OR (555 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD16564

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OR MD16564

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License OR MD16564

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
128541 (OR)
Commercial Insurance / Payer ID Rr Medicare
P00924574 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1053678284

MDMPH

Lynsey Bingham , APRN-FNP

Nurse Practitioner

NPI 1346871662

APRNFNP

NPI 1477538064

Doctor of Medicine (M.D.)

NPI 1508976473

Doctor of Medicine (M.D.)

NPI 1629168646

Doctor of Medicine (M.D.)

NPI 1659735751

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2011

Registered at 1510 DIVISION ST, STE 210, OREGON CITY, OR 970451599 (Tel: 5037236525)

📍
Updated Business Mailing Address June 27, 2011

Registered at PO BOX 3158, PORTLAND, OR 972083158 (Tel: 5032156494)

👤
Provider Name / Credentials Updated June 27, 2011

Recorded as KEVIN JOHNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2011

Surgery (License #MD16564 in OR)

🟢
Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750387049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: June 27, 2011
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Phone: 5032156494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.