MR. RALPH TODD JOHANSEN (NPI# 1790769313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790769313 |
| Entity Type | Individual |
| Full Name | MR. RALPH TODD JOHANSEN |
| Credential | P.A. |
| Practice Address |
530 Ninth Street Florence OR 97439 |
| Mailing Address |
530 9th St Florence OR 97439-7388 |
| Practice Telephone | 5419977104 |
| Practice Fax Number | 5419975973 |
| Mailing Telephone | 5419977104 |
| Mailing Fax Number | 5419975975 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00032 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | PA00032 | 01 |
| Street Address |
530 NINTH STREET |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205359544 | Robert A. Stevenson | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-07-19 |
| 1396272696 | George Emory Edwards IIi | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-05-17 |
| 1467999565 | Melanie Samples Bramblett | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2017-01-26 |
| 1215485685 | Laura Timmons Strickland | Physician Assistant | 800 E Cheves St Ste 480-b, Florence, SC 29506-2650 | 2016-09-14 |
| 1811444664 | Sonia Thomas Wicker | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2016-09-08 |
| 1639548555 | Jeffrey Hughes | Physician Assistant | 380 9th St, Florence, OR 97439-9470 | 2015-09-22 |
| 1356730865 | Robert Bowen | Physician Assistant | 2129 Helton Dr, Florence, AL 35630-1069 | 2015-01-21 |
| 1437578259 | Bryan M. Alford | Physician Assistant | 1005 E Cheves St, Florence, SC 29506-2707 | 2014-04-09 |
| 1972882306 | Jocie Patterson | Physician Assistant | 800 E Cheves St Ste 480, Florence, SC 29506-2653 | 2011-08-16 |
| 1922305481 | Edward Signor Jr. | Physician Assistant | 800 E Cheves St, Suite 480, Florence, SC 29506-2650 | 2011-02-18 |
| Find all providers in FLORENCE | ||||
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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.