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

Zackery Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1407430721

Zackery Johnson, DO is an Emergency Medicine in Ronceverte, West Virginia. Qualified in 2021, 5 years ago. Practices with Camc Greenbrier Valley Medical Center Inc, a 79-clinician group and offers telehealth. Licensed in Pennsylvania and West Virginia.

Years since qualifying
5
Licensed in
PA, WV
In the registry since
2021
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

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone: (043) 647-4411
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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 4395 (WV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT020569 (PA)

Record details

NPI number1407430721
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address400 Association Dr Ste 102, Charleston, WV 25311-1298

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Camc Greenbrier Valley Medical Center Inc — 79 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Ronceverte