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RUSSELL A JOHANSON M.D. NPI 1902190051


NPI Information

NPI: 1902190051
Provider Name: RUSSELL A JOHANSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: MATSU EMERGENCY MEDICINE PHYSICIANS CORP

PECOS Registration: Yes

Address:
2500 S WOODWORTH LOOP
PALMER, AK
ZIP 99645
Phone: (907) 861-6000
Get Directions

Russell A Johanson, M.D. is an emergency medicine in Palmer, AK with 13 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Russell A Johanson, M.D. NPI is 1902190051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2500 S WOODWORTH LOOP
PALMER, AK
ZIP 99645-984
Phone: (907) 861-6000
Fax: (907) 861-6000

The NPI 1902190051 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 6/7/2011 and was last updated on 11/21/2017.


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
1207P00000XEmergency MedicineMEDS7975ALASKAYes

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.