JOHNSON CLINIC PC (NPI# 1609898600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609898600 |
| Entity Type | Organization |
| Organization Name | JOHNSON CLINIC PC |
| Practice Address |
800 3rd Avenue Southwest Rugby ND 58368 |
| Practice Telephone | 7017765235 |
| Practice Fax Number | 7017765297 |
| Mailing Telephone | 7017765235 |
| Mailing Fax Number | 7017765297 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-11-23 |
| Authorized Official Name | MS. BONNIE E MATTERN (ADMINISTRATOR) |
| Authorized Official Telephone | 7017765235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10152 | 05 |
| Street Address |
800 3RD AVENUE SOUTHWEST |
| City | RUGBY |
| State | ND |
| Zip Code | 58368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696501 | Bonnie Jean Strand | Technician | Ramona Gronos, 7291 41st Ave Ne, Rugby, ND 58368 | 2020-10-14 |
| 1700274891 | Pierce County Social Services | Public Health or Welfare | 240 2nd St. Se, Suite 2, Rugby, ND 58368 | 2014-12-26 |
| 1376958009 | Jordan Backstrom | Physical Therapist | 215 Highway 2 Sw Stuite 103, Rugby, ND 58368 | 2014-06-20 |
| 1538389754 | Kyle Thomas Demontigny | Pharmacist | White Drug #50, 107 E 2nd St, Rugby, ND 58368 | 2007-04-27 |
| 1316085384 | Colleen J. Hermanson | Speech-Language Pathologist | 126 S Main Ave., Rugby, ND 58368 | 2007-02-02 |
| 1518481936 | Horizons Speech Therapy Services, LLC | Speech-Language Pathologist | 126 S Main Ave, Rugby, ND 58368 | 2017-07-27 |
| 1780962126 | Heart of America Clinic Pharmacy Inc. | Pharmacy | 800 S Main Ave, Rugby, ND 58368 | 2011-08-03 |
| 1861599680 | Carol A Berg | Nurse Practitioner | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-09-20 |
| 1710052626 | Brian L Selland | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-11-24 |
| 1124128608 | Hubert L Seiler | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-09-24 |
| Find all providers in zip 58368 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841398666 | Steven B Schoneberg | Family Medicine | 800s Main Ave, Rugby, ND 58368-2118 | 2006-09-20 |
| 1710330006 | Josalynne Ladawn Hoff Rue | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2016-07-21 |
| 1033404108 | Ashley Kremer | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2011-06-16 |
| 1578734869 | Good Samaritan Hospital Association | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2008-03-14 |
| 1710052626 | Brian L Selland | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-11-24 |
| 1518044577 | Jeffrey Lee Vaagen | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2006-11-01 |
| 1124128608 | Hubert L Seiler | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
| 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.