NPIMap

Individual provider Active NPI

Paul Ryan Johnson, D.O.

  • Orthopaedic Surgery Physician
  • Little Falls, MN
National Provider Identifier
1437211232
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
53039 Issued in MN
Practice address
1108 1St St SE
Little Falls, MN 56345-3440
Phone
(320) 631-2200
Fax
(320) 632-3728
NPI assigned
Dec 15, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2006019877 MO
Orthopaedic Surgery Physician 207X00000X 53039 MN Primary

Addresses

Primary practice location

1108 1St St SE
Little Falls, MN 56345-3440

Mailing address

1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 631-2200

Other identifiers 1

IdentifierTypeStateIssuer
1437211232MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100925000128 MN Practitioner - Orthopedic Surgery 3072602333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

811 2ND St SE
Little Falls, MN 56345-3559
Phone (320) 631-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
53039MNMDOrthopaedic Surgery Physician
2006019877MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare Orthopaedic Surgery Current Accepting new patients
Unity Family Healthcare CurrentSince Aug 1, 2010 Accepting new patients
Unity Family Healthcare CurrentSince Aug 1, 2010 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

Interoperability endpoints

  • Direct secure messaging: pjohnson22321@direct.centracare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1437211232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2006019877",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "53039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437211232",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.