NPI age
19 years
Enumerated 2006-06-26
● Active
Type 1 · Individual
David A Johnson, M.D.
Johnson is 1 of 7 surgery providers in Twin Falls and 1 of 38 in Idaho.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, MS
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-03-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 38 active surgery providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 57% — 42% of peers are multi-state
Subspecialties
0
55% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
775 Pole Line Rd W, Suite 213
Twin Falls, ID 833015814
Mailing address
Po Box 587
Twin Falls, ID 833030587
Additional practice locations
1 secondary location on file with NPPES.
Location 2
501 Marshall St
Jackson, MS 392021651
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00899554 | MCRR |
| 05 (ID) | 003760400 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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