Newton H Johnson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEWTON H JOHNSON

Doing business as

NeuroMed

Practice address

80 Florence Dr
Excelsior, MN 55331-8538

Phone

(952) 470-8818

Fax

(952) 470-6936

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Newton H JohnsonNPI 1013197524

Title

Owner

Phone

(952) 470-8818

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• NeuroMed Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Newton H Johnson

  • Durable Medical Equipment & Medical Supplies
  • Excelsior, MN
  • NPI 1013197524
  NPD (past) Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1548256530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FLORENCE DR",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553318538",
            "telephone_number": "952-470-8818",
            "fax_number": "952-470-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FLORENCE DR",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553318538",
            "telephone_number": "952-470-8818",
            "fax_number": "952-470-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON H JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NEWTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-470-8818"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590828",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024965300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5711339",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41695700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "7G837NE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30762422",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Mulder, D.C.
• Sandra Ryan Myhre, MSW, LICSW
• Celesta Cartrite Myland, M.S.,CCC/A
• Jamie Lynn Neisen, LMT
• Eric C Newhouse, D.D.S.
• Lynn Workman Nodland, PH.D., LMFT
• Danielle Marie O'Connell, DC
• Jason John O'Donnell, DC
• Angela O'Shea, LMFT
• Anna Rose Oasheim

• Durable Medical Equipment & Medical Supplies in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.