MR. TYLER K JOHNSON (NPI# 1003362914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003362914 |
| Entity Type | Individual |
| Full Name | MR. TYLER K JOHNSON |
| Credential | PA-C |
| Practice Address |
675 Water St Excelsior MN 55331-3072 |
| Mailing Address |
676 N Saint Clair St Suite 1600 Chicago IL 60611-2927 |
| Practice Telephone | 9529067855 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085005949 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 560 S Maple St Ste 400, Waconia, MN 553871757 | 9524422191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175002 | Tyler Johnson | Specialist/Technologist | 2627 E 2100 S, Salt Lake City, UT 84109-1370 | 2016-10-14 |
| 1679846281 | Tyler Elliot Johnson | Military Health Care Provider | 342 Dover Ct, Virginia Beach, VA 23454-4253 | 2012-02-13 |
| 1871878298 | Tyler Chase Johnson | Chiropractor | 4716 4th St, Suite 102, Lubbock, TX 79416-4900 | 2011-10-17 |
| 1831334929 | Tyler Johnson | Dentist | 1287 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2008-12-04 |
| 1821164203 | Tyler Johnson | Chiropractor | 3127 Brady St, Johnson Chiropractic & Sports Injury Ste #4, Davenport, IA 52803-1233 | 2006-11-28 |
| 1235755281 | Tyler James Johnson | Family Medicine | 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 | 2020-06-24 |
| 1679100580 | Tyler Johnson | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-23 |
| 1205462934 | Tyler Johnson | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-03-13 |
| 1275170201 | Tyler Johnson | Physical Therapist | 420 Walmart Way Ste B, Dahlonega, GA 30533-0818 | 2019-12-10 |
| 1154886794 | Tyler Johnson | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2019-02-07 |
| Street Address |
675 WATER ST |
| City | EXCELSIOR |
| State | MN |
| Zip Code | 55331-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402834 | Michael T Schulenberg | Family Medicine | 675 Water St, Excelsior, MN 55331-3072 | 2005-07-21 |
| 1215349246 | Lucy Kurtz Eikevik | Family Medicine | 675 Water St, Excelsior, MN 55331-3072 | 2014-05-26 |
| 1356598544 | Amy M Kloke | Audiologist | 675 Water St, Excelsior, MN 55331-3072 | 2008-08-19 |
| 1316114036 | Marlene A Johnson | Audiologist-Hearing Aid Fitter | 675 Water St, Excelsior, MN 55331-3072 | 2008-05-12 |
| 1396940052 | Ridgeview Clinics | Physician Assistant | 675 Water St, Excelsior, MN 55331-3063 | 2007-06-20 |
| 1174726541 | Michael Todd Hopfenspirger | Otolaryngology | 675 Water St, Excelsior, MN 55331-3072 | 2007-06-06 |
| 1588866255 | Gina Orourke Peschel | Physician Assistant | 675 Water St, Excelsior, MN 55331-3063 | 2007-06-04 |
| 1821131483 | Sabina Rukiya Sabur | Audiologist-Hearing Aid Fitter | 675 Water St, Excelsior, MN 55331-3072 | 2007-02-14 |
| 1790821940 | Minnesota Otolaryngology, P.a. | Otolaryngology | 675 Water St, Excelsior, MN 55331-3063 | 2007-01-29 |
| 1558413062 | Ridgeview Clinics | Family Medicine | 675 Water St, Excelsior, MN 55331-3063 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609432798 | Christina Mccullough Dds Pllc | Dentist | 2455 Shadywood Road, Orono, MN 55331 | 2019-05-14 |
| 1558854042 | Melissa Ann Morency | Massage Therapist | 23505 County Road 19, Excelsior, MN 55331 | 2018-06-11 |
| 1801388475 | Susanne B Kanter | Physical Therapist | 23490 Mn-7, Shorewood, MN 55331 | 2018-05-30 |
| 1518367440 | Danielle Marie O'connell | Chiropractor | Knewtson Health Group, 23505 Smithtown Rd Suite 100, Excelsior, MN 55331 | 2014-08-28 |
| 1467893511 | Allison Scott | Pharmacist | 23800 Mn Hwy 7, Shorewood, MN 55331 | 2013-07-17 |
| 1417204751 | Minnetonka Psychology and Wellness | Marriage & Family Therapist | 19765 Highway 7, Suite 203, Shorewood, MN 55331 | 2012-08-06 |
| 1952623456 | Virginia Lee Sievers Green | Occupational Therapist | 464 2nd Street, Suite 105, Excelsior, MN 55331 | 2010-02-24 |
| 1497980163 | Harmonia Health Care | Home Health | 3121 Pillsbury Ave S, Minneapolis, MN 55331 | 2009-05-24 |
| 1831352731 | Kelli J O'shea | Occupational Therapist | 19685 Hwy 7, Shorewood, MN 55331 | 2008-07-10 |
| 1922295658 | Nueva Era Healthcare Services, Inc. | Home Health | 5667 Wood Duck Circle, Shorewood, MN 55331 | 2007-09-26 |
| Find all providers in zip 55331 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.