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Deactivated NPI 1780624007 Deactivated / Inactive NPI Male Practitioner

Dr. David Wilmer Johnson , DO

Emergency Medicine • Prosser, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2006
NPI Deactivation Date November 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Johnson, DO was a registered Emergency Medicine practicing in Prosser, WA. Throughout an active medical career spanning 19 years, Dr. Johnson provided care at the practice location at 723 MEMORIAL ST until profile deactivation on 2025-11-06.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

723 Memorial St

Prosser, WA 993501524

Telephone 5097862222
Fax 5097866612
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Prosser, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Prosser, WA (1495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
12 12 $571.00 $100.62

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WA OP00001020

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

33 Associated Practitioners
Ashley Kenney , MOT, OTR, L

Occupational Therapist

NPI 1063359875

Master of Occupational Therapy, Occupational Therapist Registered, L

NPI 1083658074

Doctor of Medicine (M.D.)

Kevin Gurney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104037696

Certified Registered Nurse Anesthetist

Peter Park , FNP

Nurse Practitioner

NPI 1154937241

Family Nurse Practitioner

Dr. Peter Culp , PT, DPT

Physical Therapist

NPI 1225663255

Physical Therapist, Doctor of Physical Therapy

Abigail Carson

Nurse Anesthetist, Certified Registered

NPI 1225901101

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

NPI Profile Active March 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2008

Registered at 723 MEMORIAL ST, PROSSER, WA 993501524 (Tel: 5097862222)

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Updated Business Mailing Address March 25, 2008

Registered at 723 MEMORIAL ST, PROSSER, WA 993501524 (Tel: 5097862222)

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Provider Name / Credentials Updated March 25, 2008

Recorded as DAVID JOHNSON, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2008

Emergency Medicine (License #OP00001020 in WA)

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Initial NPI Registration & Enumeration June 07, 2006

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: 1780624007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: March 25, 2008
Deactivation Date: November 06, 2025

Mailing Address

723 Memorial St

Prosser, WA 993501524

Phone: 5097862222

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.