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

Dr. Edward D Johnson, MD

Individual provider Family Medicine Physician · NPI 1780672725

Dr. Edward D Johnson, MD is a Family Practice in Kettle Falls, Washington. Graduated from University of Washington School of Medicine in 1996, 30 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

840 S Meyers St
Kettle Falls, WA 99141
Phone: (509) 685-7848
Fax: (509) 684-5817
Show map & directions

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

Additional practice locations (1)

  • 1200 E Columbia Ave, Colville, WA 99114-3354 — (509) 684-3701

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00036372 (WA)

Record details

NPI number1780672725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGASTROENTEROLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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