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

Ron Michael Johnson, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1093771081

Ron Michael Johnson, MD is a Plastic and Reconstructive Surgery in Kettering, Ohio. Graduated from University of Cincinnati College of Medicine in 1988, 38 years ago. Practices with Advanced Breast and Cosmetic Surgery Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
38
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2006
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

580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3474
Phone: (937) 949-8457
Fax: (937) 949-8695
Show map & directions

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

Additional practice locations (1)

  • 30 E Apple St, Dayton, OH 45409-2939 — (937) 208-3999

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 35059517 (OH)

Record details

NPI number1093771081
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address580 Lincoln Park Blvd, Suite 255, Kettering, OH 45429-3474

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Advanced Breast And Cosmetic Surgery Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kettering