KEITH W. JOHNSON


Address: 450 Bayview Dr, Roseville, MN 55113-6907
Phone: 6516650413

KEITH W. JOHNSON (NPI# 1407226582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407226582
Entity Type Individual
Full Name KEITH W. JOHNSON
Other Name DR. KEITH W. JOHNSON
Credential M.D.
Practice Address 450 Bayview Dr
Roseville
MN 55113-6907
Practice Telephone 6516650413
Mailing Telephone 6516650413
Enumeration Date 2015-10-01
Last Update Date 2015-10-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
18624 MN Allopathic & Osteopathic Physicians

Other Providers KEITH JOHNSON

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1780937821 Keith Michael Johnson Counselor 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 2012-10-25
1467628792 Keith Emery Johnson General Practice 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 2008-05-06
1336330810 Keith David Johnson Dentist 26 S Village Dr, Liberty, MO 64068 2007-08-08
1952529133 Keith E Johnson Dentist 13270 Big Basin Way, Boulder Creek, CA 95006 2007-04-23
1700929031 Keith Vincent Johnson Specialist/Technologist 13 Fahnestock Rd, Malvern, PA 19355-2104 2007-02-15
1972669646 Keith Johnson Physical Therapist 2301 Morningside Dr, Jonesboro, AR 72404-8050 2006-12-28
1467514588 Keith W.v. Johnson Orthopaedic Surgery 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 2006-12-14
1568553147 Keith Michael Johnson Chiropractor 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 2006-09-27
1487616967 Keith Patrick Johnson Specialist 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 2006-04-03
1841263159 Keith A Johnson Psychiatry & Neurology 33 Fruit St, Mass General Physican Organization, Boston, MA 02114-2621 2006-02-08

Office Location

Street Address 450 BAYVIEW DR
City ROSEVILLE
State MN
Zip Code 55113-6907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396384376 Zachary Mattson Physician Assistant Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 2019-12-23
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1821653833 Suite Living Senior Care of Little Canada Assisted Living Facility 2740 Rice Street, Little Canada, MN 55113 2019-05-06
1902370505 Diverse Assessments and Treatment, LLC Psychologist 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 2019-01-16
1588138473 Applewood Home Health Care, LLC Home Health 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 2019-01-14
1699251520 Optum Infusion Services 500, Inc. Durable Medical Equipment & Medical Supplies 2685 Patton Rd, Roseville, MN 55113 2018-07-13
1083104145 Suite Living Senior Care of Roseville Assisted Living Facility 197 County Road B2 W, Roseville, MN 55113 2018-05-15
1477055796 Sunrise Residential Services LLC Home Health 216 Maple Ln, Roseville, MN 55113 2018-03-02
1194223024 Alissa Hoff Specialist 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 2018-01-25
1841705118 Kingsland Care Services Incorporated Case Management 2301 Rice Street, Suite 101, Roseville, MN 55113 2017-12-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760856934 Modesto Radiological Medical Group, Inc Radiology 2132 Lysander Way, Roseville, CA 95661-3220 2015-11-25
1497180772 Mw Healh Associate Inc Radiology 901 Sunrise Ave Ste A22, Roseville, CA 95661-4558 2013-09-05
1962727552 Yauk Kaung Lee Radiology 1380 Lead Hill Blvd Ste 100, Roseville, CA 95661-2941 2010-04-07
1932426004 Veena R Iyer Radiology 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 2010-04-28
1750526083 Radiological Associates of Sacramento Medical Group Inc Radiology 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 2008-12-16
1386811230 Sacramento Radiology Medical Group, Inc. Radiology 2110 Professional Dr, Suite 190, Roseville, CA 95661-3752 2008-05-09
1932397478 Sentinel Health Staffing Radiology 18263 E 10 Mile Rd, Roseville, MI 48066-5805 2007-10-10
1821020017 Roland D Demarco Radiology 1 Medical Plaza Dr, Roseville, CA 95661-3037 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457967234 Central Imaging LLC Radiology 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 2020-09-17
1053930578 Dmitriy Shchegolev Radiology 14346 Wilson Dr, Eden Prairie, MN 55347-4179 2020-04-14
1306333109 John Warren Kirby Radiology 200 1st St Sw # 507284, Rochester, MN 55905 2018-04-17
1861904765 Stephanie Dykema Radiology 6809 Sandlewood Rd, Woodbury, MN 55125-2175 2017-10-31
1609392349 Rai Keystone Imaging Services, LLC Radiology 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 2017-08-15
1235687088 Jeffery E. Illman Radiology 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 2016-09-21
1164765822 Robben Andrew Schat Radiology 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 2013-04-01
1326363102 Gilda Boroumand Radiology 1901 Irving Ave S, Minneapolis, MN 55403-2824 2010-04-05
1477880276 Siobhan Moira Flanagan Radiology Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 2009-11-16
1043478159 Voyageur Radiology LLC Radiology 9975 Dellwood Rd N, Stillwater, MN 55082-9425 2008-05-26
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Competitor

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City ROSEVILLE
Zip Code 55113

Improve Information

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Dataset Information

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.

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