Carol J. Johnson in Fargo - Geriatric Medicine
Carol J. Johnson - NPI 1679535991
Carol J. Johnson is a Geriatric Medicine in Fargo, North Dakota. Carol J. Johnson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Carol J. Johnson is 1679535991. The last update date is 2021-10-20.
Carol J. Johnson's current location address is 1702 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7013643300. The mailing address for Carol J. Johnson is 1702 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol J. Johnson |
|---|---|
| Address | 1702 University Dr S, Fargo, North Dakota |
| Phone Number | 7013643300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679535991 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 1702 University Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581034940 |
| Phone Number | 7013643300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 45749 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HP38799 | MN | HEALTH PARTNERS | |
| P00047499 | MN | RAILROAD MEDICARE | |
| 66-06190 | MN | MEDICA URGENT CARE | |
| 072K4J0 | MN | BLUE CROSS | |
| 171680 | MN | UCARE MINNESOTA | |
| 1882619 | MN | AMERICA'S PPO | |
| 2110090 | MN | FIRST HEALTH GROUP | |
| 34407600 | WI | -- | |
| 607632700 | MN | GROUP HEALTH EAU CLAIRE | |
| NA9141035345 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carol J. Johnson by the Centers for Medicare & Medicaid Services?
The Carol J. Johnson has been issued the NPI (National Provider Identifier) 1679535991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Carol J. Johnson?
The Carol J. Johnson is situated at 1702 University Dr S, in the city of Fargo, state of ND, with the zip code 581034940.
What is the Carol J. Johnson's specialty and taxonomy code?
The Carol J. Johnson's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
When did the Carol J. Johnson receive its 1679535991?
The Carol J. Johnson was issued its 1679535991 on 2006-04-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Carol J. Johnson most recently updated or revised?
The information pertaining to Carol J. Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-20.