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

Cody Reid Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104241595

Cody Reid Johnson is a Diagnostic Radiology in Danville, Pennsylvania. Graduated from University of Toledo College of Medicine in 2014, 12 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Trained at
University of Toledo College of Medicine
Licensed in
PA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 271-6301
Fax: (570) 271-5976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD486964 (PA)

Record details

NPI number1104241595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 22, 2014
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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