| Kyle D Johnson, MD | |
|
350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 | |
| (701) 235-1924 | |
| (701) 235-6304 |
| Full Name | Kyle D Johnson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 14 Years |
| Location | 350 23rd Avenue E, West Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588959472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 14194 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Entity Name | Carrington Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205807013 PECOS PAC ID: 0547177552 Enrollment ID: O20020822000021 |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1598185597 PECOS PAC ID: 9739098575 Enrollment ID: O20040304000249 |
| Entity Name | Carrington Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558389338 PECOS PAC ID: 0547177552 Enrollment ID: O20040810000314 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Entity Name | Kyle Johnson Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306627807 PECOS PAC ID: 3173976081 Enrollment ID: O20240126003230 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle D Johnson, MD 350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 Ph: (701) 235-1924 | Kyle D Johnson, MD 350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 Ph: (701) 235-1924 |
Dr. Lesley A Soine, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 23rd Ave E Ste 102, West Fargo, ND 58078 Phone: 701-235-1924 Fax: 701-235-6304 |