NPI age
7 years
Enumerated 2018-05-29
● Active
Type 1 · Individual
Tyler W Johnson, DO
Johnson is 1 of 19 surgery providers in Coeur D Alene and 1 of 260 in Idaho.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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