MARK CHRISTIAN JOHANNSEN (NPI# 1609812718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812718 |
| Entity Type | Individual |
| Full Name | MARK CHRISTIAN JOHANNSEN |
| Credential | MD |
| Practice Address |
450 E 23rd St Fremont NE 68025 |
| Mailing Address |
415 East 23rd St Ste 210 Fremont NE 68025-2343 |
| Practice Telephone | 4027213070 |
| Practice Fax Number | 4027273513 |
| Mailing Telephone | 4027214866 |
| Mailing Fax Number | 4027213229 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19406 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47058135000 | 05 |
| Street Address |
450 E 23RD ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048927 | Muhammad S Haroon | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2303 | 2005-07-26 |
| 1215552161 | Megan Grote | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-06-16 |
| 1104465491 | Jacqueline M Stanzel | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2020-01-03 |
| 1972147908 | Samantha Bauer | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-11-02 |
| 1699322529 | Chelsea A Hamzhie | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-26 |
| 1366097610 | Rachael Nicole Bruechert | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-08-05 |
| 1316590326 | Amanda N Berkland | Nurse Practitioner | 450 E 23rd St, Fremont, NE 68025-2303 | 2019-07-18 |
| 1144798729 | Methodist Fremont Health | Pharmacy | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-11-13 |
| 1235618216 | Methodist Fremont Health | Internal Medicine | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| 1144709122 | Methodist Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396974069 | Imanual Somers-dehaney | Radiology | 44 River Run Dr, Fremont, OH 43420-3621 | 2009-07-02 |
| 1427217876 | Grace Lin | Radiology | Kaiser Foundation Hospital, Department of Radiology, Fremont, CA 94538 | 2008-06-02 |
| 1013031772 | Norcal Imaging | Radiology | 2201 Walnut Ave, Suite # 150, Fremont, CA 94538-2334 | 2007-03-19 |
| 1669573838 | Daniel Michael Mcnay | Radiology | 43575 Mission Blvd # 517, Fremont, CA 94539-5831 | 2006-09-26 |
| 1376589465 | Michael Dean Soe | Radiology | 450 East 23rd St, Fremont, NE 68025 | 2006-06-20 |
| 1467493536 | Brian Kaoru Nagai | Radiology | 3200 Kearney St., Fremont, CA 94538 | 2006-06-09 |
| 1033162615 | Jeffrey A Himmelberg | Radiology | 450 East 23rd Street, Fremont, NE 68025 | 2006-05-18 |
| 1447241302 | Inview Imaging Medical Corporation | Radiology | 39465 Paseo Padre Pkwy, Suite 1000, Fremont, CA 94538-5347 | 2005-10-31 |
| 1043203219 | Bruce L Hammond | Radiology | 715 S Taft Ave, Fremont, OH 43420-3200 | 2005-08-23 |
| 1336566702 | Maureen Claire Chapman | Radiology | 3200 Kearney St, Fremont, CA 94538-2299 | 2014-03-24 |
| Find all providers in FREMONT | ||||
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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.