MATTHEW ALAN JOHANSEN (NPI# 1265757769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265757769 |
| Entity Type | Individual |
| Full Name | MATTHEW ALAN JOHANSEN |
| Credential | M.D. |
| Practice Address |
6480 Harrison Ave Cincinnati OH 45247-7961 |
| Mailing Address |
6480 Harrison Ave Suite 201 Cincinnati OH 45247-7961 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547651 |
| Mailing Telephone | 5133543700 |
| Mailing Fax Number | 5133547651 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
TP268 | KY | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
35.129257 | OH | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
D79334 | MD | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
0101258243 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821088 | Matthew Trent Johansen | Physical Therapist | 652 S. Medical Center Dr. #ll10, St. George, UT 84790-7017 | 2010-09-24 |
| 1144850157 | Matthew Johansen | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-17 |
| 1487066320 | Matthew Johansen | Counselor | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-05-27 |
| Street Address |
6480 HARRISON AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652418 | Shannon M Urton | Physician Assistant | 6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961 | 2005-07-13 |
| 1194389395 | Mariah Elizabeth Gador | Physician Assistant | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2019-04-24 |
| 1407322936 | Daniel Thomas Forcum | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-10-23 |
| 1013404664 | James M Brutz | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247 | 2018-04-19 |
| 1619479177 | Kimberly E Broughton | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-03-01 |
| 1629577945 | Samantha Nicole Cliffe | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2018-02-02 |
| 1629528997 | Brandie Goad | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2016-10-10 |
| 1699143313 | Beacon Orthopaedics & Sports Medicine, Ltd | Clinic/Center | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-09-11 |
| 1356726921 | Kimberly A Castleman | Physical Therapist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2015-07-24 |
| 1548650682 | Stacey Yohner | Occupational Therapist | 6480 Harrison Ave, Suite 301, Cincinnati, OH 45247-7961 | 2015-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225472319 | Zackary Ostin Byrd | Orthopaedic Surgery | 515 Union Ave Ste 167, Dover, OH 44622-3005 | 2013-04-19 |
| 1992003149 | John Patrick Mclaughlin | Orthopaedic Surgery | 9500 Euclid Ave A41, Cleveland, OH 44195-1004 | 2011-03-10 |
| 1326289257 | William Burgette | Orthopaedic Surgery | 4343 All Seasons Dr Ste 140, Hilliard, OH 43026-1962 | 2009-03-24 |
| 1457449639 | North Hill Orthopaedic Surgery, Inc. | Orthopaedic Surgery | 1 Park Center Dr Ste 304, One Park Centre Drive, Wadsworth, OH 44281-9452 | 2006-10-11 |
| 1578573895 | John F.m. O'leary | Orthopaedic Surgery | 2438 Billiton Ct, Columbus, OH 43220-2804 | 2006-08-09 |
| 1659356822 | Douglas J Chonko | Orthopaedic Surgery | 543 Taylor Ave Fl 1, Columbus, OH 43203-1278 | 2005-12-10 |
| 1518954387 | Mark Eric Knable | Orthopaedic Surgery | 75 Hospital Dr Ste 140, Athens, OH 45701-2858 | 2005-10-05 |
| 1942206073 | Paul J. Cangemi | Orthopaedic Surgery | 10 N Locust St, Ste 1b, Oxford, OH 45056-1182 | 2005-06-23 |
| 1255801452 | Ashlee R Grow | Orthopaedic Surgery | 7551 Fredle Dr, Concord Township, OH 44077-9406 | 2018-11-29 |
| 1144774241 | Alexander Greenberg | Orthopaedic Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on MATTHEW ALAN JOHANSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.