| Michael D Johnson, MD | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Michael D Johnson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Pediatric Emergency Medicine |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962607911 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| 35356600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 7569499-1205 (Utah) | Primary |
| 208000000X | Pediatrics | 50866 (Minnesota) | Secondary |
| Entity Name | Pediatric Emergency Medicine Department Of University Of Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275570665 PECOS PAC ID: 0840233540 Enrollment ID: O20050603000476 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | Pediatric Rapid Treatment Unit Department Of University Of Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972557593 PECOS PAC ID: 5991846313 Enrollment ID: O20100107000593 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Entity Name | University Of Utah Pediatric Acuity Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Johnson, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Michael D Johnson, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Suhaib H Abaza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Guruprasad Ranganatha Rao Kaginele, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 4th St Se, Rochester, MN 55904 Phone: 507-529-6600 | |
Dr. Sara Ann Schroeder Hevesi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Rosa Anna Chorro Bas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
David W Claypool, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Fernanda Bellolio, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Kristofer William Roberts, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |