DR. PHILIP QUENTIN JOHNSON (NPI# 1366494809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366494809 |
| Entity Type | Individual |
| Full Name | DR. PHILIP QUENTIN JOHNSON |
| Credential | MD |
| Practice Address |
2829 University Dr S Suite 202 Fargo ND 58103-6050 |
| Practice Telephone | 7014780307 |
| Practice Fax Number | 7014780309 |
| Mailing Telephone | 7014780307 |
| Mailing Fax Number | 7014780309 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 25154 | AZ | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 34857 | MN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 6195 | ND | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25154 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
34857 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
6195 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 16785 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508202854 | Philip Scott Johnson | Pharmacist | 1051 Claypool Hill Mall Rd Ste 1, Cedar Bluff, VA 24609-8201 | 2013-05-14 |
| 1073757126 | Philip Conger Johnson | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2009-04-20 |
| 1831307602 | Philip Lynn Johnson | Psychologist | 617 S 48th Ave, Yakima, WA 98908-3614 | 2007-05-17 |
| 1306975263 | Philip James Johnson | Family Medicine | 2418 Lake Ave, Ft Wayne, IN 46805 | 2007-03-05 |
| 1073682100 | Philip Shawn Johnson | Dentist | 4025 W. Bell Rd, Suite 7, Phoenix, AZ 85053-2793 | 2006-11-06 |
| 1801852405 | Philip Johnson | Specialist/Technologist | 2336 Draper Ave, Ypsilanti, MI 48197-4312 | 2006-04-22 |
| 1467418293 | Philip Evan Preston Johnson | Otolaryngology | 127 Linden Ave, Rutledge, PA 19070-2102 | 2006-04-21 |
| 1740743848 | Philip Kent Johnson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2019-04-08 |
| 1285198176 | Philip Gayles Johnson | Social Worker | 1044 Alta Vista Rd, Louisville, KY 40205-1758 | 2019-01-25 |
| 1407354681 | Philip Ryan Johnson | Counselor | 3100 W Lake St Ste 210, Minneapolis, MN 55416-4597 | 2018-01-23 |
| Street Address |
2829 UNIVERSITY DR S SUITE 202 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987570 | Ihc Health Services Inc | Ophthalmology | 2829 University Dr S, Fargo, ND 58103-6050 | 2020-03-20 |
| 1669910220 | Sasheen Marie Laducer | Physical Therapist | 2829 University Dr S, Ste 202, Fargo, ND 58103-6050 | 2017-02-03 |
| 1851715320 | Solien Spine Associates, PC | Chiropractor | 2829 University Dr S, Fargo, ND 58103-6050 | 2014-02-04 |
| 1811234032 | Renew Medical Clinic LLC | Anesthesiology | 2829 University Dr S, Fargo, ND 58103-6050 | 2013-01-08 |
| 1720355175 | Callie Jo Schumacher | Occupational Therapist | 2829 University Dr S, Fargo, ND 58103-6050 | 2011-11-29 |
| 1194021873 | Pt Ot Partners Inc. | Physical Therapist | 2829 University Dr S, Ste 202, Fargo, ND 58103-6050 | 2011-01-28 |
| 1285943746 | Orthopedic and Sport Medicine Specialists of Fargo Ltd | Orthopaedic Surgery | 2829 University Dr S, Suite 2, Fargo, ND 58103-6050 | 2010-10-01 |
| 1952565517 | Wendy Irene Brown | Physician Assistant | 2829 University Dr S, Fargo, ND 58103-6050 | 2008-07-14 |
| 1467571745 | Red River Spine Associates, PC | Neuromusculoskeletal Medicine, Sports Medicine | 2829 University Dr S, Suite 201, Fargo, ND 58103-6050 | 2007-03-28 |
| 1154490399 | Urgent Medicine Associates LLC | Clinic/Center | 2829 University Dr S, Ste 101, Fargo, ND 58103-6050 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740540707 | John Rostad Haggart | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103 | 2012-05-24 |
| 1013282425 | Razvan Nicolescu | Orthopaedic Surgery | 3000 32nd Ave South, Fargo, ND 58103-6132 | 2012-03-19 |
| 1083981567 | Parth Ashok Vyas | Orthopaedic Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2011-11-28 |
| 1184917924 | Sanford Medical Center Fargo | Orthopaedic Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2011-05-26 |
| 1477846749 | Michael A White | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2011-05-19 |
| 1093005902 | Brian Sauer | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103 | 2011-04-12 |
| 1669785556 | Jason Kelly | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-07-20 |
| 1326222514 | Benjamin Noonan | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2007-12-24 |
| 1356551089 | Kevin Dahl | Orthopaedic Surgery | 2301 25th St S, Fargo, ND 58103-6104 | 2007-05-23 |
| 1437167525 | George A Walker | Orthopaedic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-08-04 |
| Find all providers in FARGO | ||||
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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.