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MATTHEW ALAN JOHANSEN M.D. NPI 1265757769


NPI Information

NPI: 1265757769
Provider Name: MATTHEW ALAN JOHANSEN, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Organization: BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD

PECOS Registration: Yes

Address:
6480 HARRISON AVE
CINCINNATI, OH
ZIP 45247
Phone: (513) 354-3700
Get Directions

Matthew Alan Johansen, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Cincinnati, OH with 14 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Matthew Alan Johansen, M.D. NPI is 1265757769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

6480 HARRISON AVE
CINCINNATI, OH
ZIP 45247-961
Phone: (513) 354-3700
Fax: (513) 354-7651

The NPI 1265757769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 3/29/2010 and was last updated on 7/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery0101258243VIRGINIANo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryD79334MARYLANDNo
4207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryTP268KENTUCKYNo
5207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery35.129257OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.