Gordon Ray Johnson, DO in Davenport, IA - Otolaryngology

Gordon Ray Johnson, DO is a Otolaryngology physician based in Davenport, Iowa. Gordon Ray Johnson is licensed to practice in Iowa (license number 1926) and his current practice location is 3906 Lillie Ave., Suite 1, Davenport, Iowa. He can be reached at his office (for appointments etc.) via phone at (563) 391-3309.

NPI number for Gordon Ray Johnson is 1205893781 and his current mailing address is 3906 Lillie Ave., Suite 1, Davenport, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205893781.

Contact Information

	Gordon Ray Johnson, DO
	3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432
	(563) 391-3309
	(563) 391-3630

Physician's Profile

Full Name	Gordon Ray Johnson
Gender	Male
Speciality	Otolaryngology
Location	3906 Lillie Ave., Davenport, Iowa
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1205893781
Provider Enumeration Date: 04/27/2006
Last Update Date: 10/16/2012

Medical Identifiers

Medical identifiers for Gordon Ray Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205893781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	1926 (Iowa)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Ray Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gordon Ray Johnson, DO 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 Ph: (563) 391-3309	Gordon Ray Johnson, DO 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 Ph: (563) 391-3309

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Otolaryngology Doctors in Davenport, IA

Ralph R Tyner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Ste 101, Davenport, IA 52807 Phone: 563-359-1646
Dr. Douglas W. Dvorak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Ste 101, Davenport, IA 52807 Phone: 563-359-1646 Fax: 563-344-6703
Ryan James Krogmann, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Davenport, IA 52807 Phone: 330-971-7207
Jay Burmeister, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 101, Davenport, IA 52807 Phone: 563-359-1646
Michael S Tomek, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct, Ste 101, Davenport, IA 52807 Phone: 563-359-1646 Fax: 563-344-6703

Gordon Ray Johnson, DO - Otolaryngology in Davenport, IA