ADAM MORGAN JOHANNSEN (NPI# 1861802019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861802019 |
| Entity Type | Individual |
| Full Name | ADAM MORGAN JOHANNSEN |
| Practice Address |
14000 Fairview Dr Burnsville MN 55337-5713 |
| Practice Telephone | 9529938700 |
| Mailing Telephone | 9529938700 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
67129 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Broadway St # C, Attn: Karen Denny, Redwood City, CA 940633132 | 6507217638 | |
| 8100 Northland Dr, Bloomington, MN 554314800 | 9528318742 |
| Street Address |
14000 FAIRVIEW DR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536944 | Jeanne M Hesse | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-11-29 |
| 1134777550 | Madison Beverly Peitz | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2019-08-28 |
| 1932688728 | Kelsie Marie Gunnufson | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337 | 2018-08-13 |
| 1477031813 | Rachel Anne Bartelt Gilbertson | Speech-Language Pathologist | 14000 Fairview Dr, Burnsville, MN 55337-4571 | 2018-07-28 |
| 1497265698 | Alanna Jade Jirschele | Audiologist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2017-10-03 |
| 1164979381 | Taylor Brutlag | Occupational Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-09-06 |
| 1770039281 | Kayla Hollstadt | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-08-26 |
| 1467804252 | Kristen Ann Akervik | Physical Therapist | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-07-06 |
| 1922452325 | Elizabeth Marie Sproat Mcniven | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2016-04-21 |
| 1225492739 | Brielle Joy Haggerty | Pediatrics | 14000 Fairview Dr, Burnsville, MN 55337 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388447 | Erik Therrien | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw Rochester Mn 55905, Rochester, MN 55905-0001 | 2020-08-30 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1902381148 | Richard Kyle Maciver Martin | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-10-02 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1508156571 | Ryan Robert Fader | Orthopaedic Surgery | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2011-04-12 |
| 1396056842 | Zachary Peter Arntson | Orthopaedic Surgery | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2010-06-30 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.