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

Dr. Keonna D'Wyette Johnson, MD

Individual provider Surgery Physician · NPI 1578824751

Dr. Keonna D'Wyette Johnson, MD is a General Surgery in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Urgent Specialty Associates of Texas PLLC, a 73-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
14
Licensed in
PA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1 Atwell Rd, Cooperstown, NY 13326-1301 — (607) 547-3456
  • 630 S Fleishel Ave, Tyler, TX 75701-2041 — (903) 606-5560

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD474272 (PA)
Surgery Physician Taxonomy 208600000X · Licence U0604 (TX)

Record details

NPI number1578824751
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Urgent Specialty Associates Of Texas Pllc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia