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

Dr. Kim Johnson, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1922058361

Dr. Kim Johnson, DO is an Obstetrics/Gynecology in Escanaba, Michigan. Qualified in 1996, 30 years ago. Practices with Northeastern Vermont Regional Hospital Inc, a 105-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

3409 Ludington St Ste 204
Escanaba, MI 49829-4212
Phone: (906) 786-1356
Fax: (906) 789-4503
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 5101013033 (MI)

Record details

NPI number1922058361
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESMarch 31, 2010
Mailing address3409 Ludington St, Suite 204, Escanaba, MI 49829-4212

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Northeastern Vermont Regional Hospital Inc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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