DOUGLAS ALLAN JOHNSON (NPI# 1841223708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841223708 |
Entity Type | Individual |
Full Name | DOUGLAS ALLAN JOHNSON |
Practice Address |
2501 Keenan Dr International Falls MN 56649-2181 |
Practice Telephone | 2182939431 |
Practice Fax Number | 2182856875 |
Mailing Telephone | 2182939431 |
Mailing Fax Number | 2182856875 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2016-05-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 22875 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 303363500 | 05 | |
WI | 32404500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710513825 | Douglas Johnson | Hearing Instrument Specialist | 321 Sanford Dr, Morganton, NC 28655-2555 | 2020-03-20 |
1447571260 | Douglas Earl Johnson Sr. | Counselor | 334 Old Thomas Rd, Watha, NC 28478-9538 | 2010-06-16 |
1558528505 | Douglas D. Johnson | Dentist | 1310 Tara Hills Dr Ste G, Pinole, CA 94564-2533 | 2008-05-19 |
1790994580 | Douglas William Johnson | Dentist | 980 E Foothill Blvd Ste 104, Upland, CA 91786-4068 | 2007-05-21 |
1356556880 | Douglas M Johnson | Dentist | 2380 14th Ave Se, Albany, OR 97322-6800 | 2007-05-10 |
1205950052 | Douglas Scott Johnson | Chiropractor | 3365 N. Academy Blvd., Colorado Springs, CO 80917 | 2007-03-19 |
1225163843 | Douglas Harold Johnson | Dentist | 275 Pendleton Way, Washougal, WA 98671-4203 | 2007-02-22 |
1033255328 | Douglas Arthur Johnson | Speech-Language Pathologist | 500 North Navajo, Box 1927, Page, AZ 86040 | 2007-01-30 |
1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
1417055971 | Douglas R Johnson | Counselor | 1750 Pine Ave, Niagara Falls, NY 14301-2232 | 2006-09-20 |
Street Address |
2501 KEENAN DR |
City | INTERNATIONAL FALLS |
State | MN |
Zip Code | 56649-2181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386682045 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-06-03 |
1881144970 | Essentia Health Virginia, LLC | Clinic/Center | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2016-10-12 |
1689053704 | Jacelyn Paige Davidson | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2015-05-21 |
1477967685 | Elizabeth Lessard | Nurse Practitioner | 2501 Keenan Dr, Essentia Health International Falls, International Falls, MN 56649-2181 | 2014-06-16 |
1336584218 | Emily Michelle Nicholson | Physician Assistant | 2501 Keenan Dr, Rainy Lake Medical Center, International Falls, MN 56649-2181 | 2013-05-06 |
1063705689 | Darci Leigh Pelland | Nurse Practitioner | 2501 Keenan Dr, Rainy Lake Medical Center Clinic, International Falls, MN 56649-2181 | 2011-05-17 |
1881821619 | Tim Allen Smith | Psychiatry & Neurology | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2009-06-19 |
1932365640 | Tara B Tomczak | Pharmacist | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2008-08-01 |
1245393719 | Elizabeth Kathleen Marchuk | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-18 |
1992865935 | Alan Marc Gorden | Family Medicine | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
Find all providers in zip 56649 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
Find all providers with the same taxonomy |
City | INTERNATIONAL FALLS |
Zip Code | 56649 |
Please comment or provide details below to improve the information on DOUGLAS ALLAN JOHNSON.
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.