Ronald A Johannsen, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

22026 Issued in MN

Practice address

701 Park Ave
Minneapolis, MN 55415-1623

Phone

(612) 873-6963

Fax

(612) 904-4644

NPI assigned

Jun 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1386683860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-6963",
            "fax_number": "612-904-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-6963",
            "fax_number": "612-904-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "RONALD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "22026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771785700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Grostephan, Licsw, LLC
• Gay Luanne Joel, PSYD, LP
• Joessa Austin, P.C.
• Siddharth Bhalchandra Joglekar, MD
• Katy-Cecilie Johannessen, DC
• Kirsten Lee Johansen, MD
• Julieanne Ball Johanson, MD
• John a. Haugen Associates, P.a.
• John Bergman, M.D. LTD
• John F O'Leary MD PA

• Cardiovascular Disease Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.