Kyle D Johnson (NPI# 1588959472, PAC ID# 1557681277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1588959472 |
| PAC ID by PECOS | 1557681277 |
| Professional Enrollment ID | I20160923000555 |
| Full Name | Kyle D Johnson |
| Organization Legal Name | SANFORD BISMARCK |
| Address |
3318 N 14th St Bismarck ND 58503-1614 |
| Phone Number | 7013238300 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9739098575 |
| Number of Group Practice Members | 362 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| 350015 | SANFORD MEDICAL CENTER BISMARCK |
| Address | Phone | Organization |
|---|---|---|
| 3318 N 14th St, Bismarck, ND 58503-1614 | 7013238300 | SANFORD BISMARCK |
| 2615 Fairway St, Dickinson, ND 58601-2590 | 7014566000 | SANFORD BISMARCK |
| Organization Legal Name | SANFORD BISMARCK |
| Physicians | 373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant Andreas Fairbanks | Plastic and Reconstructive Surgery | Sanford Bismarck | 222 N 7th St, Bismarck, ND 58501-4436 |
| Abby R Renner | Nurse Practitioner | Sanford Bismarck | 414 N 7th St, Bismarck, ND 58501-4423 |
| Abby L Harris | Family Medicine | Sanford Bismarck | 801 21st Ave Se, Minot, ND 58701-6064 |
| Megan M Gietzen | Nurse Practitioner | Sanford Bismarck | 33 9th St W, Dickinson, ND 58601-3950 |
| Robert B Canham | Orthopedic Surgery | Sanford Bismarck | 209 N 7th St, Bismarck, ND 58501-4441 |
| Connie Kadrmas | Nurse Practitioner | Sanford Bismarck | 515 E Broadway Ave, Sanford 5th and Broadway Clinic, Bismark, ND 58801-4407 |
| Meghan K Hendrickson | Family Medicine | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Sadaf Yousuf | Family Medicine | Sanford Bismarck | 910 18th St Nw, Mandan, ND 58554-1612 |
| Erica A Wald | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Andrew J Miller | Diagnostic Radiology | Sanford Bismarck | 765 W Interstate Ave, Bismarck, ND 58503-0936 |
| Street Address |
3318 N 14TH ST |
| City | BISMARCK |
| State | ND |
| Zip | 58503-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Bossort | Family Medicine | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Rodney N Kraft | Certified Registered Nurse Anesthetist (crna) | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Larissa A Kohler | Physician Assistant | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Jamie L Hawk | Certified Registered Nurse Anesthetist (crna) | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Rebecca J Andes | Nurse Practitioner | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Maria S Castejon Welchez | Internal Medicine | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Olimpia Rauta | Family Medicine | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Eric Michael Thompson | Family Medicine | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Brian W Richard | Certified Registered Nurse Anesthetist (crna) | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Randy R Holland | Physician Assistant | Sanford Bismarck | 3318 N 14th St, Bismarck, ND 58503-1614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Badinger | Chiropractic | 117 E Century Ave, Bismarck, ND 58503-0412 | |
| Krista R Heil | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
| George Gero | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
| Amy M Fleck | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
| Robert D Shaw | Chiropractic | 1003 E Interstate Ave, Suite 5, Bismarck, ND 58503-0500 | |
| Rhonda D Dockter Jolliffe | Nurse Practitioner | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
| Alicia D Hansen | Occupational Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
| Michelle M Peake | Occupational Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
| Anthony Keith Mitterling | Physical Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
| Ryan P Koch | Chiropractic | 2600 Gateway Ave, Suite 2, Bismarck, ND 58503-0513 | |
| Find all physicians in zip 58503 | |||
| City | BISMARCK |
| Zip Code | 58503 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BISMARCK + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Kyle D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.