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

Cooper Johnston, DO

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1073992087

Cooper Johnston, DO is a Family Practice in Phoenix, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2015, 11 years ago. Practices with Rhg of Arizona PC, an 18-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4122 N 17th St
Phoenix, AZ 85016-5922
Phone: (928) 543-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 007402 (AZ)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 007402 (AZ)

Record details

NPI number1073992087
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Rhg Of Arizona Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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