CYBELE D JOHNSON (NPI# 1942492988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942492988 |
| Entity Type | Individual |
| Full Name | CYBELE D JOHNSON |
| Credential | DO |
| Practice Address |
1601 Saint Francis Ave Suite 100 Shakopee MN 55379-3383 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 6124283535 |
| Practice Fax Number | 6124283599 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 50015 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1601 SAINT FRANCIS AVE SUITE 100 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467856 | Darren F Larson | Orthopaedic Surgery | 1601 Saint Francis Ave, Shakopee, MN 55379-3383 | 2005-12-12 |
| 1902217045 | Samantha Mantz | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2014-05-12 |
| 1255763900 | Jackie Kay Tewes | Nurse Practitioner | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2013-08-05 |
| 1891057311 | Christina Degler | Specialist/Technologist | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2012-06-11 |
| 1821374638 | Cynthia Jo Freitag-hagen | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-25 |
| 1023392388 | Patricia Gail Rechtzigel | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-05 |
| 1518263250 | Allina Health System | Clinic/Center | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2011-01-27 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1902068927 | Daniel N Kessler | Psychologist | 1601 Saint Francis Ave, Shakopee, MN 55379-3373 | 2008-07-01 |
| 1922273978 | Parvathi Theerthakarai | Family Medicine | 1601 Saint Francis Ave, 100, Shakopee, MN 55379-3383 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625481 | Venkateshwaran K Iyer | Internal Medicine | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379 | 2005-11-07 |
| 1235492869 | Mien Hai Nguyen | Internal Medicine | 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379-3384 | 2012-06-19 |
| 1598058497 | Richard T. Kiok | Internal Medicine | 1601 Saint Francis Ave Ste 100, Mail Route 73046, Shakopee, MN 55379-3384 | 2011-05-25 |
| 1770744880 | Pezhman Samimian | Internal Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2008-06-20 |
| 1447444666 | Edwin Ndemo Bogonko | Internal Medicine | 1515 Saint Francis Ave, Suite # 100, Shakopee, MN 55379-3387 | 2007-08-30 |
| 1497859920 | Sonal Sidhwani | Internal Medicine | 1601 Saint Francis Ave, Ste 100, Shakopee, MN 55379-3383 | 2006-09-13 |
| 1508979196 | Gabor R Joo | Internal Medicine | 1601 Saint Francis Ave, Ste 100, Shakopee, MN 55379-3383 | 2006-08-16 |
| 1417919267 | Assen Nikolaev Chekerdjiev | Internal Medicine | 1601 Saint Francis Ave, Ste 100, Shakopee, MN 55379-3383 | 2006-04-06 |
| 1821059437 | Clara Yee-i Wu | Internal Medicine | 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 | 2006-03-31 |
| 1285694109 | Jeffrey A Balke | Internal Medicine | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2006-03-24 |
| Find all providers in SHAKOPEE | ||||
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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.