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Individual provider Active NPI

Robert Lance Johansen, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Biloxi, MS
National Provider Identifier
1861463788
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
14698 Issued in MS
Practice address
2781 CT Switzer Senior Drive
Suite 301
Biloxi, MS 39531-4536
Phone
(228) 328-2400
Fax
(228) 328-4200
NPI assigned
Jan 30, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 14698 MS Primary

Addresses

Primary practice location

2781 CT Switzer Senior Drive
Suite 301
Biloxi, MS 39531-4536

Mailing address

2781 CT Swizter Sr Dr
Suite 310
Biloxi, MS 39531-4535
Phone (228) 328-2400

Other identifiers 2

IdentifierTypeStateIssuer
00116678MedicaidMS
5707330001OtherMSNSC

Other names 1

  • Dr. Robert Lance Johansen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20051123000412 MS Practitioner - Orthopedic Surgery 8921070467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Eastern Virginia Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2781 CT Switzer Sr Dr
Suite 301
Biloxi, MS 39531
Phone (228) 328-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14698MSMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Orthopaedic Institute Current Accepting new patients
Mississippi Orthopaedic Institute CurrentSince Nov 1, 2005 Accepting new patients

Locations

15190 Community Rd
Ste 120
Gulfport, MS 39503
Phone (228) 328-2400

Interoperability endpoints

  • Direct secure messaging: rjohansen@direct.mhg.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 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1861463788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 CT SWIZTER SR DR",
            "address_2": "SUITE 310",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-328-2400",
            "fax_number": "228-328-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 CT SWITZER SENIOR DRIVE",
            "address_2": "SUITE 301",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314536",
            "telephone_number": "228-328-2400",
            "fax_number": "228-328-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "ROBERT",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MS",
            "license": "14698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116678",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "5707330001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "JOHANSEN",
            "middle_name": "LANCE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.