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DR. CAROL J. JOHNSON M.D. NPI 1679535991


NPI Information

NPI: 1679535991
Provider Name: DR. CAROL J. JOHNSON, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: INNOVIS HEALTH LLC

PECOS Registration: Yes

Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
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DR. Carol J. Johnson, M.D. is a geriatric medicine family medicine in Fargo, ND with 24 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Carol J. Johnson, M.D. NPI is 1679535991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300

The NPI 1679535991 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 10/20/2021.


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
1207Q00000XFamily Medicine45735MINNESOTANo
2207QG0300XFamily MedicineGeriatric Medicine45749MINNESOTANo
3207QG0300XFamily MedicineGeriatric Medicine15917NORTH 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
1607632700OTHERMINNESOTAGROUP HEALTH EAU CLAIRE
2607632700MEDICAIDMINNESOTA
301-18712OTHERMINNESOTAMEDICA
4171680OTHERMINNESOTAUCARE MINNESOTA
5P00047499OTHERMINNESOTARAILROAD MEDICARE
62110090OTHERMINNESOTAFIRST HEALTH GROUP
766-06190OTHERMINNESOTAMEDICA URGENT CARE
8HP38799OTHERMINNESOTAHEALTH PARTNERS
9072K4J0OTHERMINNESOTABLUE CROSS
101882619OTHERMINNESOTAAMERICA'S PPO
1134407600MEDICAIDWISCONSIN
12NA9141035345OTHERMINNESOTAPREFERRED ONE

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.