DR. HARRY ALVIN JOHNSON JR. (NPI# 1093049348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093049348 |
| Entity Type | Individual |
| Full Name | DR. HARRY ALVIN JOHNSON JR. |
| Credential | M.D. F.A.C.S. |
| Practice Address |
4708 Townes Road Edina MN 55424 |
| Practice Telephone | 9529224185 |
| Practice Fax Number | 9529220503 |
| Mailing Telephone | 9529224185 |
| Mailing Fax Number | 9529220503 |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 16092 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BX/BS | XZMX27943978 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807111 | Harry Richard Johnson | Orthopaedic Surgery | 13405 Shoreline Dr Se, Olalla, WA 98359-9618 | 2012-11-20 |
| 1043569619 | Harry Richard Johnson Jr. | Technician, Other | 3722 Parsons Ave, Anchorage, AK 99508-1216 | 2012-08-29 |
| 1821353293 | Harry Leroy Johnson | Student in an Organized Health Care Education/Training Program | 135 W 50th St, 6th Floor, New York, NY 10020-1201 | 2012-07-11 |
| 1063741478 | Harry Isaac Johnson Jr. | Internal Medicine | 1315 2nd St Sw, Suite # 201, Roanoke, VA 24016-4944 | 2009-12-14 |
| 1093746885 | Harry W Johnson | Obstetrics & Gynecology | 419 W Redwood St, Suite 500, Baltimore, MD 21201-1734 | 2006-07-06 |
| 1144260746 | Harry F Johnson | Physician Assistant | 550 Twin Cities Blvd, Suite A, Niceville, FL 32578-1067 | 2006-06-08 |
| 1104808641 | Harry Keith Johnson | Internal Medicine | 1633 Church St, Suite 160, Nashville, TN 37203-2990 | 2005-11-18 |
| Street Address |
4708 TOWNES ROAD |
| City | EDINA |
| State | MN |
| Zip Code | 55424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| 1083789929 | Edina 5-o Dental Pa | Dentist | 3948 W 50th St, Suite 205, Edina, MN 55424 | 2006-11-22 |
| Find all providers in zip 55424 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1861501082 | Christopher J Kovanda | Plastic Surgery | 4999 France Ave S Ste 210, Edina, MN 55410-2168 | 2006-08-30 |
| 1578670956 | David F Ruebeck | Plastic Surgery | 6545 France Ave S Ste 350, Edina, MN 55435-2120 | 2006-08-23 |
| 1043222011 | Robert C Wilke | Plastic Surgery | 6525 France Ave S Ste 300, Edina, MN 55435-2177 | 2006-08-11 |
| 1497766471 | Edina Plastic Surgery, Ltd. | Plastic Surgery | 6525 France Ave. S., Suite 300, Edina, MN 55435 | 2006-08-11 |
| 1518985720 | Brian J Kobienia | Plastic Surgery | 7450 France Ave S Ste 220, Edina, MN 55435-4792 | 2006-07-17 |
| 1235575473 | Christine Elyse Stewart | Plastic Surgery | 6525 France Ave S Ste 300, Edina, MN 55435-2177 | 2013-05-15 |
| 1275859423 | Mccue Plastic Surgery, Pa | Plastic Surgery | 7373 France Ave S, Suite 510, Edina, MN 55435-4534 | 2010-04-13 |
| 1003960006 | Allen Lester Vanbeek | Plastic Surgery | 7373 France Ave S, Suite 510, Edina, MN 55435-4534 | 2007-01-23 |
| 1346325487 | Timothy Schaefer | Plastic Surgery | 6545 France Ave S, Suite 350, Edina, MN 55435-2131 | 2006-10-26 |
| Find all providers in EDINA | ||||
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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.