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

Kenneth S Johnson, MD

Individual provider Anesthesiology Physician · NPI 1558378265

Kenneth S Johnson, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 1991, 35 years ago. Practices with Center for Physical Rehabilitation Inc, a 344-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 4301057997 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301057997 (MI)

Record details

NPI number1558378265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESAugust 21, 2019
Mailing addressPo Box 22067, Lansing, MI 48909-8016

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesADDICTION MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Center For Physical Rehabilitation Inc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids