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EDWARD R JOHNSON MD NPI 1497715064


NPI Information

NPI: 1497715064
Provider Name: EDWARD R JOHNSON, MD
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Address:
3000 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 364-8000
Get Directions

Edward R Johnson, MD is a thoracic surgery cardiothoracic vascular surgery in Fargo, ND. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Edward R Johnson, MD NPI is 1497715064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
Fax: (701) 364-8078

The enumeration date for this NPI number is 3/27/2006 and was last updated on 11/4/2008.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)42197MINNESOTANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)10858NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114696MEDICAIDNORTH DAKOTA
2E67657MEDICARE UPIN
3968613400MEDICAIDMINNESOTA
4713443MEDICARE PINNORTH DAKOTA

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.