DR. NEIL GORDON JOHNSON (NPI# 1386089993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386089993 |
| Entity Type | Individual |
| Full Name | DR. NEIL GORDON JOHNSON |
| Credential | D.O. |
| Practice Address |
14000 Nicollet Ave Suite 100 Burnsville MN 55337-5790 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9524280200 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 58789 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655345 | Neil Raymond Johnson | Assisted Living Facility | 11549 Pokonen Road, Floodwood, MN 55736 | 2018-07-04 |
| 1568981108 | Neil Johnson | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2017-09-14 |
| 1689922890 | Neil C. Johnson | Nurse Practitioner | 225 Church St, Stoughton, WI 53589 | 2012-08-20 |
| 1457631517 | Neil James Johnson | Dentist | 15290 Pennock Ln, Apple Valley, MN 55124-7163 | 2011-08-22 |
| 1942213194 | Neil D Johnson | Radiology | 3333 Burnet Ave, Ml 5031, Cincinnati, OH 45229-3039 | 2006-08-15 |
| 1144243973 | Neil Rodman Johnson | Orthopaedic Surgery | 1000 W 140th Street, Suite 201, Burnsville, MN 55337 | 2006-07-25 |
| 1740274380 | Neil Grant Johnson | Neurological Surgery | 18300 Us Highway 18, St. Mary Medical Center, Apple Valley, CA 92307-2206 | 2005-09-09 |
| Street Address |
14000 NICOLLET AVE SUITE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848658 | Steven L Johnson | Family Medicine | 14000 Nicollet Ave, Ste 100, Burnsville, MN 55337-5790 | 2005-08-15 |
| 1356955819 | Erin K. Allen, D.d.s., Pllc | Clinic/Center | 14000 Nicollet Ave, Ste 302, Burnsville, MN 55337-5784 | 2020-09-02 |
| 1477886687 | Jared Lee Schroeder | Physical Therapist | 14000 Nicollet Ave, Suite 200, Burnsville, MN 55337-5790 | 2009-09-08 |
| 1689857955 | Kim D Fjelstad Dpm Pa | Podiatrist | 14000 Nicollet Ave, 306, Burnsville, MN 55337-5790 | 2007-12-10 |
| 1437345055 | Tracy M Luchsinger | Physician Assistant | 14000 Nicollet Ave, Suite 100, Burnsville, MN 55337-5790 | 2007-09-18 |
| 1063613131 | Tiffany T Waki | Dentist | 14000 Nicollet Ave, Suite 300, Burnsville, MN 55337-5790 | 2007-05-29 |
| 1619025798 | Kuipers Orthodontics | Dentist | 14000 Nicollet Ave, Suite 300, Burnsville, MN 55337-5790 | 2007-01-08 |
| 1144386392 | Michael John Ebertz | Dermatology | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5790 | 2006-12-29 |
| 1790841989 | Heidi Leigh Foster | Dermatology | 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5790 | 2006-12-29 |
| 1508965195 | Nancy Holm | Dentist | 14000 Nicollet Ave, Suite 302, Burnsville, MN 55337-5790 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902262 | James Hamilton Woodrow Mckay IIi | Family Medicine | 374 Shepard Way, Burnsville, NC 28714-2850 | 2009-06-22 |
| 1497783955 | Bruce John Anderson | Family Medicine | 2724 Isle Royale Ct, Burnsville, MN 55337-3424 | 2006-06-30 |
| 1841265865 | Joseph James Antinori | Family Medicine | 14 Academy St, Burnsville, NC 28714-2902 | 2006-02-22 |
| 1609856590 | Mountain Medical Arts Pllc | Family Medicine | 2 S Main St, Burnsville, NC 28714-2929 | 2006-01-18 |
| 1477536944 | Jeanne M Hesse | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-11-29 |
| 1003897042 | Philip K Mitchell | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2005-11-08 |
| 1700878972 | Bernarda M Zenker | Family Medicine | 2434 E 117th St, Suite 200, Burnsville, MN 55337-1295 | 2005-08-16 |
| 1407848658 | Steven L Johnson | Family Medicine | 14000 Nicollet Ave, Ste 100, Burnsville, MN 55337-5790 | 2005-08-15 |
| 1457353864 | Leonard J Warren | Family Medicine | 14000 Nicollet Ave S, Burnsville, MN 55337-5790 | 2005-08-15 |
| 1053312256 | David Gray | Family Medicine | 14000 Nicollet Ave Ste 100, Burnsville, MN 55337-5793 | 2005-08-10 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| 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.