CHRISTOPHER K JOHANSEN (NPI# 1245250356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245250356 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER K JOHANSEN |
| Credential | MD |
| Practice Address |
1210 W 18th St Ste Ll03 Sioux Falls SD 57104 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053281412 |
| Mailing Telephone | 6053281410 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10848 | SD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48924 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 260058100 | 05 | |
| IA | ENROLLED | 05 | |
| WI | 35218600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
1210 W 18TH ST STE LL03 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295153617 | David Michael Martin Krause | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104-4654 | 2014-04-02 |
| 1013356781 | Andrew Jay Erie | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 | 2013-06-17 |
| 1598947350 | Lilian Ebuoma | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104-4654 | 2007-12-03 |
| 1821292889 | Frederick Joseph Severs Jr. | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 | 2007-06-13 |
| 1154530020 | Aaron David Berg | Family Medicine | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104-4654 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720421381 | Jamie Catherine Williams | Radiology | 1309 W 17th St Ste G01, Sioux Falls, SD 57104-4663 | 2013-04-14 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1629267224 | Clark L Carrol | Radiology | Box 1020665, Sioux Falls, SD 57186-0001 | 2007-10-18 |
| 1194865394 | Midwest Regional Imaging Services LLC | Radiology | 6001 S Sharon, Suite 2, Sioux Falls, SD 57108 | 2007-02-07 |
| 1831143015 | Sioux Falls Open Mri, LLC | Radiology | 6001 S Sharon Ave, Suite 1, Sioux Falls, SD 57108-5746 | 2006-05-20 |
| 1821050212 | Christopher Gregory | Radiology | 1325 S. Cliff Ave, Sioux Falls, SD 57105-3762 | 2006-04-03 |
| 1013334911 | Megan E Albertson | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2014-03-28 |
| 1013356781 | Andrew Jay Erie | Radiology | 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104 | 2013-06-17 |
| 1609213453 | Kevin K Casper | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105 | 2013-06-03 |
| 1558627760 | Anders Steven Grinde | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105 | 2012-04-02 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
Please comment or provide details below to improve the information on CHRISTOPHER K JOHANSEN.
| 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.