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

Randon Charles Johnson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1861611816

Randon Charles Johnson, MD is an Orthopedic Surgery in Chicago, Illinois. Graduated from University of Arizona College of Medicine in 2003, 23 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois, Nebraska, New Jersey and Wisconsin.

Years since qualifying
23
Trained at
University of Arizona College of Medicine
Licensed in
IL, NE, NJ, WI
In the registry since
2007
Specialties on file
4
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

1431 N Western Ave #310
Chicago, IL 60622-1797
Phone: (773) 235-1900
Fax: (773) 235-2999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Rowan Blvd, Glassboro, NJ 08028-2260 — (856) 595-9130
  • 1206 W Sherman Ave Bldg 1, Vineland, NJ 08360-6911 — (856) 595-9130
  • 1626 Tuttle St, Baraboo, WI 53913-1501 — (608) 355-6868

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036.120944 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 25IA12837800 (NJ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 24126 (NE)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2935 (WI)

Record details

NPI number1861611816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2007
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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