CHRISTOPHER LARS JOHNSRUDE MD NPI 1336144401

NPI Information

  • NPI: 1336144401
  • Provider Name: CHRISTOPHER LARS JOHNSRUDE, MD
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 411 E CHESTNUT ST # 5A
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 588-7450

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NPI Details

Christopher Lars Johnsrude, MD is a clinical cardiac electrophysiology internal medicine in Louisville, KY with 37 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Christopher Lars Johnsrude, MD NPI is 1336144401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:1988

The provider's business location address is:

411 E CHESTNUT ST # 5A
LOUISVILLE, KY
ZIP 40202-713
Phone: (502) 588-7450
Fax: (502) 588-7728

The NPI 1336144401 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 2/10/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology37041KENTUCKYYes
22080P0202XPediatricsPediatric Cardiology37041KENTUCKYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200114610AMEDICAIDINDIANA
264047947MEDICAIDKENTUCKY

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: 3/30/2025

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