GORDON RAY JOHNSON (D.O.) – Otolaryngology Physician, NPI 1205893781

GORDON RAY JOHNSON (D.O.) is a healthcare provider. based in Davenport, Iowa. specializing in Otolaryngology Physician. They hold the professional credentials D.O.. They hold a License No. 1926 (IA). The NPI Number for GORDON RAY JOHNSON (D.O.) is 1205893781

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
GORDON RAY JOHNSON (D.O.)
NPI
1205893781
Phone
(563) 391-3309
Address
3906 LILLIE AVE.
Enumeration Date
27 April 2006
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
COLLEGE OF PHYSICIANS AND SURGEONS (IOWA)
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
5395702823
Professional Enrollment ID
I20041215000935
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GORDON RAY JOHNSON (D.O.)

  • 3906, Lillie Avenue, Kimberly Village, Davenport, Scott County, Iowa, 52806, United States

    SUITE 1

    DAVENPORT, IA 528064432

    Phone: (563) 391-3309

    Fax: (563) 391-3630

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52806)

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Reviews

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Frequently asked questions

What is GORDON RAY JOHNSON (D.O.)'s NPI number?
GORDON RAY JOHNSON (D.O.)'s NPI is 1205893781 — the number used across U.S. healthcare to identify this provider.
Is GORDON RAY JOHNSON (D.O.) still an active registrant?
GORDON RAY JOHNSON (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with GORDON RAY JOHNSON (D.O.)?
GORDON RAY JOHNSON (D.O.)'s record emphasizes Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is GORDON RAY JOHNSON (D.O.) registered?
Use Davenport, Iowa as the headline location for GORDON RAY JOHNSON (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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