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

Jordan Ray Johnson, MD

Individual provider Anesthesiology Physician · NPI 1891357810

Jordan Ray Johnson, MD is an Emergency Medicine in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 975-1845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4351045598 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4351045598 (MI)

Record details

NPI number1891357810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2019
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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