DR. ERIC MATTHEW JOHNSON M.D. NPI 1811949498

NPI Information

NPI: 1811949498
Provider Name: DR. ERIC MATTHEW JOHNSON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2545 CHICAGO AVE
SUITE 601
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 863-7770
Get Directions

DR. Eric Matthew Johnson, M.D. is a specialist in Minneapolis, MN with 33 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Eric Matthew Johnson, M.D. NPI is 1811949498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1991

The provider's business location address is:

2545 CHICAGO AVE
SUITE 601
MINNEAPOLIS, MN
ZIP 55404-522
Phone: (612) 863-7770
Fax: (612) 863-7772

The NPI 1811949498 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 enumeration date for this NPI number is 5/16/2006 and was last updated on 9/12/2012.

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
1	174400000X	Specialist		36808	MINNESOTA	Yes

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
1	07D69JO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	32072100	OTHER	MINNESOTA	WISCONSIN MA
3	HP28250	OTHER	MINNESOTA	HEALTHPARTNERS
4	1711761	OTHER	MINNESOTA	MEDICA
5	F80631	MEDICARE UPIN	MINNESOTA
6	845718200	MEDICAID	MINNESOTA
7	107252D417	OTHER	MINNESOTA	UCARE
8	020001289	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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