Ronald M. Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8836 Issued in MN

Practice address

209 2ND St SE
Barnesville, MN 56514-0279

Phone

(218) 354-2111

Fax

(218) 354-2114

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Owen R Thompson

  dba Barnesville Area Clinic

  • Family Medicine Physician
  • Barnesville, MN
  • NPI 1487730404
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336225200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "565140279",
            "telephone_number": "218-354-2111",
            "fax_number": "218-354-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 2ND ST SE",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "565140279",
            "telephone_number": "218-354-2111",
            "fax_number": "218-354-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONALD",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "8836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lloyd Fremstad, D.D.S.
• Friend From Work PLLC
• Joseph Michael Fullmer, MD
• Beverly Jane Gross, MA, MT-BC
• Jewett Lake Enterprises Inc
• Kendra Marie Julsrud, RN-BSN
• Lake Region Healthcare Corporation
• Lake Region Healthcare Corporation
• Kindra Larsen-Schultz
• Minnesota Eyecare Network, Inc (Azure Vision Care)

• Medical Physician Assistant in Barnesville, MN
• Providers in Barnesville, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.