TERRY A JOHNSON (NPI# 1922062637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922062637 |
| Entity Type | Individual |
| Full Name | TERRY A JOHNSON |
| Credential | MD |
| Practice Address |
331 Highway 65 S Mora MN 55051-1899 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 3206791313 |
| Practice Fax Number | 3202253141 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30944 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384441 | Terry David Johnson | Specialist | 954 Anderson Dr Ste 101b, Aberdeen, WA 98520-1001 | 2010-08-31 |
| 1114243961 | Terry Ann Johnson | Licensed Practical Nurse | 3535 State Route 602, Bucyrus, OH 44820-9631 | 2010-04-18 |
| 1518192327 | Terry Lynn Johnson | Military Health Care Provider | Spangdahlem Ab, 52 Mdos Unit 3865, Apo, AE 09126 | 2009-05-22 |
| 1902022981 | Terry David Johnson | Pharmacist | 1705 Us Highway 51 and 138, Stoughton, WI 53589-1907 | 2007-04-18 |
| 1750465845 | Terry G Johnson | Optometrist | 210 Us Highway 27 N, Avon Park, FL 33825-3073 | 2006-10-25 |
| 1548379381 | Terry A Johnson | Family Medicine | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2006-08-29 |
| 1730167651 | Terry D Johnson | Family Medicine | 2550 Elms Center Rd, North Charleston, SC 29406-9844 | 2006-01-03 |
| 1780152124 | Terry Scott Johnson Jr. | Counselor | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2018-11-04 |
| 1932618618 | Terry Lynn Johnson | Counselor | 1939 S Division Ave, Grand Rapids, MI 49507 | 2017-09-25 |
| 1790143998 | Terry Scott Johnson | Pharmacist | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2016-02-02 |
| Street Address |
331 HIGHWAY 65 S |
| City | MORA |
| State | MN |
| Zip Code | 55051-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396705083 | Randall A Bostrom | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-03-25 |
| 1467757062 | Urology Associates, Ltd. | Urology | 331 Highway 65 S, Mora, MN 55051-1899 | 2011-01-13 |
| 1912130238 | Janet Lynn Wilkinson | Registered Nurse | 331 Highway 65 S, Mora, MN 55051-1899 | 2009-09-03 |
| 1255395406 | Peter J Donner | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-14 |
| 1083677041 | Karen K Rasmusson | Nurse Practitioner | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-10 |
| 1346202926 | Barbara Lou Ennis | Nurse Practitioner | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-06 |
| 1457313124 | Jack D Schwinghamer | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-06 |
| 1881656866 | Amy Marie Mcdaniel | Physician Assistant | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-05 |
| 1922068329 | Larry J. Brettingen | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-03-28 |
| 1053371740 | Renee L Coleman | Physician Assistant | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
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| 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 |
|---|---|---|---|---|
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1396705083 | Randall A Bostrom | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-03-25 |
| 1235129743 | Matthew D Schultz | Family Medicine | 301 S. Hwy 65, Mora, MN 55051 | 2005-10-26 |
| 1467772707 | Ryan Jon Gaalswyk | Family Medicine | 301 Highway 65 S, Firstlight Health System, Mora, MN 55051-1899 | 2010-06-09 |
| 1821315847 | Kathleen Mary Kroschel | Family Medicine | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-04-30 |
| 1194042119 | Ryan Richard Kroschel | Family Medicine | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-04-30 |
| 1285868190 | Ingrid Bwahama Kaijage | Family Medicine | 301 Highway 65 S, Firstlight Health System, Mora, MN 55051-1899 | 2009-05-06 |
| 1437340437 | Danielle Marie Bergman | Family Medicine | 301 Highway 65 S, Mora, MN 55051-1899 | 2007-08-05 |
| 1881601557 | Donald A Dahlen | Family Medicine | 301 Highway 65 S, Mora, MN 55051-1899 | 2006-08-02 |
| 1255395406 | Peter J Donner | Family Medicine | 331 Highway 65 S, Mora, MN 55051-1899 | 2006-04-14 |
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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.