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

Robert Johnson, MD00041003

Individual provider Emergency Medicine Physician · NPI 1730262726

Robert Johnson, MD00041003 is an Emergency Medicine in Walla Walla, Washington. Qualified in 1999, 27 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2006
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Practice location Address checks out

1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone: (095) 897-3000
Fax: (509) 897-5899
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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 MD00041003 (WA)

Record details

NPI number1730262726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD00041003
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address1025 S 2nd Ave, Walla Walla, WA 99362-4116

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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