National Provider Identifier Database

MICHAEL W JOHANSEN, DO – NPI #1578772158
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

MICHAEL W JOHANSEN, DO
705 RILEY HOSPITAL DR
RI 1134
INDIANAPOLIS, IN46202-5109
Phone: 317-944-8906
Fax: 317-944-9330
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for MICHAEL W JOHANSEN

NPI Number 1578772158
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2007
Last updated 02/13/2026 - About 4 months ago
Sole proprietor1 No
Identifiers
  • IN License #: 02003367
  • IN Medicaid: 201077240
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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