Organization Active NPI

Terrance Johnson Orthopedic Surgery PA

  • Specialist
  • Bemidji, MN
National Provider Identifier
1821260134
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22385 Issued in MN
Legal business name
TERRANCE JOHNSON ORTHOPEDIC SURGERY PA
Practice address
3807 Greenleaf Ave NW
Bemidji, MN 56601-5817
Phone
(218) 751-9746
Fax
(218) 759-0620
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Rita K Drews
Title
Claims MGR
Phone
(218) 751-9746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22385 MN Primary

Addresses

Primary practice location

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817

Mailing address

3807 Greenleaf Ave NW
Bemidji, MN 56601-5817
Phone (218) 751-9746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1821260134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 GREENLEAF AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015817",
            "telephone_number": "218-751-9746",
            "fax_number": "218-759-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRANCE JOHNSON ORTHOPEDIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "DREWS",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "218-751-9746"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "22385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.