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GORDON RAY JOHNSON D.O.
NPI 1205893781
Otolaryngology in Davenport, IA

Active since April 27, 2006
3906 LILLIE AVE., SUITE 1, DAVENPORT, IA 52806(563) 391-3309(563) 391-3630 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gordon Ray Johnson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON RAY JOHNSON D.O. (NPI 1205893781) is an individual otolaryngology provider in Davenport, Iowa, licensed in Iowa (1926) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1205893781
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGORDON RAY JOHNSONCredential: D.O.
Location Address3906 LILLIE AVE., SUITE 1Davenport, IA 52806-4432
Mailing Address3906 Lillie Ave., Suite 1Davenport, IA 52806-4432 · (563) 391-3309 · Fax (563) 391-3630
Phone(563) 391-3309
Fax(563) 391-3630
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 16, 2012
✔ NPI 1205893781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · 1926
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3906 LILLIE AVE., Davenport, IA 52806
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Other Identifiers 2

Medicare UPIND46563
Medicare ID-Type Unspecified19634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Johnson's NPI number?

The NPI number for Gordon Johnson is 1205893781. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Gordon Johnson located?

Gordon Johnson practices at 3906 Lillie Ave. Suite 1, Davenport, IA 52806. The listed phone number is (563) 391-3309.

What is Gordon Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Gordon Johnson was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.