Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul Colonius Johnson IV, MD

Individual provider Otolaryngology Physician · NPI 1902895782

Dr. Paul Colonius Johnson IV, MD is an Otolaryngology in Philadelphia, Pennsylvania. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1992, 34 years ago. Practices with Methodist Associates in Healthcare, Inc, a 391-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada and Pennsylvania.

Years since qualifying
34
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
NV, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3998 Red Lion Rd Ste 211
Philadelphia, PA 19114-1440
Phone: (215) 612-5390
Fax: (215) 612-5658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence TMD004517 (PA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 11580 (NV)

Record details

NPI number1902895782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1992 (34 years in practice)
Group practice Methodist Associates In Healthcare, Inc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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