James Erik Johanson, M.D.
Individual provider Active NPI Family Medicine Physician · Chanhassen, MN
NPI 1013979491 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1013979491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 38001 (MN)
- Practice address
- 7907 Powers Blvd
Chanhassen, MN 55317-9502 - Phone
- (952) 934-0570
- Fax
- (952) 906-7837
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Group Health Inc
Practice addresses (Care Compare)
15350 English Ave
Apple Valley, MN 55124-6252
Phone (952) 431-8500
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000742 | MN | Practitioner - Family Practice | 3779578042 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Park Nicollet Clinic | Family Medicine | Current | Accepting new patients |
| Ridgeview Clinics | Past | Accepting new patients | |
| Carlson Chiropractic Health and Healing Inc. | Past |
Accepting new patients |
Locations
9555 Upland Ln N
Maple Grove, MN 55369
Phone (952) 993-1440
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38001 | MN | Yes |
Addresses
Primary practice location
7907 Powers Blvd
Chanhassen, MN 55317-9502
Mailing address
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441027100 | Medicaid | MN |
Other providers in Chanhassen, MN
- Jade Counseling LLC
- Suzannie M James-Sveback
- Emily Jeske
- Patricia A Jilek
- Joel P. Eichers, D.C.,P.a.
- Ellen Johnson
- Amy Elisabeth Jones
- Christine L, Joyce
- Jill M Julsrud
- Kristin Jurkowski
All providers in Chanhassen, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.