Kenneth R Johnson, MD
Kenneth R Johnson is a Surgery Physician provider (Surgery) practicing in Tucson, AZ, registered in the NPPES registry with NPI 1053472332 since 2006. The credential MD stands for Doctor of Medicine. Practices at Palo Verde Surgical Associates, PC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053472332 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kenneth R Johnson |
| Credential | MD |
| Sex | Male |
| Practice address | 630 N ALVERNON WAY STE 180, Tucson, AZ, 85711 |
| Phone | 5203228450 |
| Fax | 5203225446 |
| Enumeration date | 2006-12-12 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | AZ08759 | AZ |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Kenneth Johnson, MD NPI: 1053472332 Taxonomy: 208600000X (Surgery Physician) Address: 630 N ALVERNON WAY STE 180, Tucson, AZ, 85711
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720149099 | David Neal | Individual | Surgery Physician | Tucson, AZ |
| 1053459297 | Palo Verde Surgical Associates, PC | Organization | Surgery Physician | Tucson, AZ |
Verify this record
Cross-check NPI 1053472332 against the authoritative CMS record: view Kenneth R Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.