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

Dr. Wesley Javeed Johnson, DO

Individual provider Surgery Physician · NPI 1619356318

Dr. Wesley Javeed Johnson, DO is a General Surgery in Beavercreek, Ohio. Qualified in 2015, 11 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
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

3535 Pentagon Blvd Ste 320
Beavercreek, OH 45431-1705
Phone: (937) 490-2270
Fax: (937) 490-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 N Limestone St Ste 120, Springfield, OH 45503-1102 — (937) 490-2270

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 34.014487 (OH)

Record details

NPI number1619356318
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2015
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431-1705

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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