Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann E Johnson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1205299385

Ann E Johnson, MD is an Obstetrics/Gynecology in Coeur D Alene, Idaho. Qualified in 2016, 10 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

980 W Ironwood Dr Ste 101
Coeur D Alene, ID 83814-2668
Phone: (208) 765-1455
Fax: (208) 686-8312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 68027 (MN)

Record details

NPI number1205299385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESFebruary 28, 2022
Certification dateFebruary 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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