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

Tyler W Johnson, DO

Individual provider Surgery Physician · NPI 1376034181

Tyler W Johnson, DO is a General Surgery in Coeur D Alene, Idaho. Graduated from Kansas City College of Medicine and Surgery in 2018, 8 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho and South Carolina.

Years since qualifying
8
Trained at
Kansas City College of Medicine and Surgery
Licensed in
ID, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-5200
Fax: (208) 625-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4971842 (ID)
Surgery Physician Taxonomy 208600000X · Licence LL82173 (SC)

Record details

NPI number1376034181
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2018 (8 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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