RICHARD E JOHNSON (NPI# 1679579429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679579429 |
| Entity Type | Individual |
| Full Name | RICHARD E JOHNSON |
| Credential | P.A. |
| Practice Address |
1000 E 1st St Ste 400 Duluth MN 55805-2297 |
| Practice Telephone | 2187225513 |
| Practice Fax Number | 2187226515 |
| Mailing Telephone | 2187225513 |
| Mailing Fax Number | 2187226515 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
8860 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE SHIELD | 73A56J0 | 01 |
| MN | PREFERREDONE | 983271008414 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005441 | Richard Johnson | Technician | 4614 G St Se, Washington, DC 20019-7833 | 2020-05-28 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1831695113 | Richard A Johnson | Technician/Technologist | 6081 Route 96 Ste 8, Farmington, NY 14425-1062 | 2018-04-04 |
| 1346765138 | Richard Johnson Jr. | Driver | 502 Hazelhurst Ave, Richmond, VA 23222-2825 | 2017-08-14 |
| 1225416506 | Richard Johnson | Internal Medicine | 63 Cottonwood Ln, Briarcliff Manor, NY 10510-2140 | 2015-05-07 |
| 1407126519 | Richard Scott Johnson | Social Worker | 625 S 300 E, Brigham City, UT 84302-2910 | 2012-01-05 |
| 1538439641 | Richard Johnson | Respiratory Therapist, Certified | 9142 Wooded Hill Dr, Corona, CA 92883-9345 | 2012-01-05 |
| 1568698934 | Richard Benjamin Johnson | Anesthesiology | Emory Department of Anesthesiology, 1364 Clifton Road Ne. 3b South, Emory University Hosp, Atlanta, GA 30322-0001 | 2009-05-29 |
| 1538369400 | Richard Stanley Johnson | Internal Medicine | 10644 Old Hammock Way, Wellington, FL 33414 | 2007-07-19 |
| 1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
| Street Address |
1000 E 1ST ST STE 400 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205497 | Kundel Pediatric Associates, Pa | Pediatrics | 1000 E 1st St, Ste 204, Duluth, MN 55805-2297 | 2005-06-20 |
| 1356989685 | Alanna Norick | Midwife | 1000 E 1st St, Duluth, MN 55805-2297 | 2019-12-17 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1114372349 | Tiffany Venne | Specialist/Technologist | 1000 E 1st St, Ste 404, Duluth, MN 55805-2297 | 2016-04-25 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1134539158 | Kaytlin Elisabeth Richie | Nurse Practitioner | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2014-04-29 |
| 1942647532 | Jacquelyn Ryan Messer | Nurse Practitioner | 1000 E 1st St, Ste. N203, Duluth, MN 55805-2297 | 2013-05-23 |
| 1184970857 | Danielle Lee Morse | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2012-07-31 |
| 1760737811 | David Labore | Physician Assistant | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2012-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1811005689 | Julius Lorinc | Physician Assistant | 8310 Royal Troon Dr, Duluth, GA 30097-1681 | 2006-08-29 |
| 1669485579 | Oluwole Andrew Okunsanya | Physician Assistant | 2427 Staunton Dr, Duluth, GA 30097-5278 | 2006-08-14 |
| 1750849345 | Daniel Glen Kolenda | Physician Assistant | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2019-03-04 |
| 1659891778 | Laura Lee Burgstahler | Physician Assistant | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-06-20 |
| 1548644966 | Collective Consulting | Physician Assistant | 6555 Sugarloaf Pkwy, Suite 307-231, Duluth, GA 30097-4930 | 2015-07-15 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1104133727 | Adam Tanner Hermes | Physician Assistant | 1000 E 1st St Ste 400, Duluth, MN 55805-2297 | 2010-09-02 |
| 1396973137 | Erika Jayne Birchhill | Physician Assistant | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-07-01 |
| 1194984690 | Collective Consulting Enterprise | Physician Assistant | 6555 Sugarloaf Pkwy, Suite 307,#231, Duluth, GA 30097-4930 | 2008-06-09 |
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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.