| Rylan J Johnson, DPM | |
|
2805 5th St, Suite 100, Rapid City, SD 57701-6003 | |
| (605) 719-5700 | |
| (605) 719-5701 |
| Full Name | Rylan J Johnson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 23 Years |
| Location | 2805 5th St, Rapid City, South 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 |
|---|---|---|---|
| 1699794693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 188 (South Dakota) | Secondary |
| 213E00000X | Podiatrist | 188 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
| Monument Health Custer Hospital | Custer, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monument Health Rapid City Hospital Inc | 6002729506 | 560 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083681712 PECOS PAC ID: 5991616427 Enrollment ID: O20061104000565 |
| Entity Name | Monument Health Rapid City Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Rylan J Johnson, DPM 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701-6000 Ph: Not Available | Rylan J Johnson, DPM 2805 5th St, Suite 100, Rapid City, SD 57701-6003 Ph: (605) 719-5700 |