DR. BRIAN DOUGLAS JOHNSON (NPI# 1417122391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417122391 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DOUGLAS JOHNSON |
| Credential | M.D. |
| Practice Address |
575 N Sioux Point Rd Dakota Dunes SD 57049-5312 |
| Practice Telephone | 6052172667 |
| Practice Fax Number | 6052172900 |
| Mailing Telephone | 6052172667 |
| Mailing Fax Number | 6052172900 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2010-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 38592 | IA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 7535 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
575 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708853 | James Lawrence Case | Psychiatry & Neurology | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-24 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1265032544 | Allison Faye Biggerstaff | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-27 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1174140552 | Nicole Kay Shea | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-07-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1407494388 | Martin R Walsh | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-12-11 |
| 1437713872 | Daniel Eric Nelson | Specialist/Technologist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-04-30 |
| 1023574316 | Nicholas Nielsen | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-02-12 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| 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 |
|---|---|---|---|---|
| 1003217621 | Joshua Hockett | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2014-09-15 |
| 1942513973 | Tibor Thomas Warganich | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2010-07-19 |
| 1548580830 | Joseph Harper Carreau | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2010-06-09 |
| 1922204239 | Daniel Richard Nelson | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2007-06-23 |
| 1902932015 | Michael T Espiritu | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2007-02-25 |
| 1265582712 | Benjamin T. Bissell | Orthopaedic Surgery | 575 Sioux Point Road, Dakota Dunes, SD 57049-5312 | 2007-01-10 |
| 1427152636 | Raymond Michael Sherman | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2006-09-08 |
| 1730139890 | Wade K. Jensen | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2006-05-11 |
| 1679548267 | Daniel Ryan Kensinger | Orthopaedic Surgery | Cnos, PC, 575 Sioux Point Road, Dakota Dunes, SD 57049-5312 | 2006-02-17 |
| 1720080856 | Raymond Lee Emerson | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-06-01 |
| Find all providers in DAKOTA DUNES | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.