National Provider Identifier Database

CAROL J JOHNSON, MD – NPI #1679535991
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

CAROL J JOHNSON, MD
1702 UNIVERSITY DR S
FARGO, ND58103-4940
Phone: 701-364-3300
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for CAROL J JOHNSON

NPI Number 1679535991
Credentials MD
Entity Individual
Enumeration date 04/03/2006
Last updated 10/20/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 45735
  • MN License #: 45749
  • ND License #: 15917
  • MN Medicaid: 607632700
  • WI Medicaid: 34407600
  • MN Other: 1882619 AMERICA'S PPO
  • MN Other: 072K4J0 BLUE CROSS
  • MN Other: 2110090 FIRST HEALTH GROUP
  • MN Other: 607632700 GROUP HEALTH EAU CLAIRE
  • MN Other: HP38799 HEALTH PARTNERS
  • MN Other: 01-18712 MEDICA
  • MN Other: 66-06190 MEDICA URGENT CARE
  • MN Other: NA9141035345 PREFERRED ONE
  • MN Other: P00047499 RAILROAD MEDICARE
  • MN Other: 171680 UCARE MINNESOTA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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