ELLIOT MOHR JOHNSON (NPI# 1639512866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639512866 |
| Entity Type | Individual |
| Full Name | ELLIOT MOHR JOHNSON |
| Credential | MD |
| Practice Address |
3931 Louisiana Ave S St Louis Park MN 55426-5000 |
| Practice Telephone | 9529933230 |
| Mailing Telephone | 9529933230 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
61591 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 295 Phalen Blvd, Saint Paul, MN 551302400 | 6514956200 | |
| 909 Fulton St Se, Minneapolis, MN 55455 | 6126727422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780093187 | Elliot Paul Johnson | Physician Assistant | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 | 2014-08-11 |
| 1386936235 | Elliot Johnson | Specialist/Technologist, Other | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2011-05-11 |
| Street Address |
3931 LOUISIANA AVE S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422927 | Anthony G Bottini | Neurological Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-10-25 |
| 1437797917 | Allison Marie White | Dietitian, Registered | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-12-16 |
| 1083257612 | Kaylie Marie Laplante | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-10-27 |
| 1952960841 | Melissa Ann Moran | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-06-13 |
| 1205394004 | Maria Kelley Kearney | Occupational Therapist | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2019-03-11 |
| 1043790553 | Jack William Bergman | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-08-15 |
| 1164922910 | Lisa Mary Huset | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2018-02-19 |
| 1184147514 | Avri Ann Bock | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-07-18 |
| 1871013037 | Lorraine Marie Richards | Nurse Practitioner | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-06-20 |
| 1336672930 | Naoko Onizuka | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013054386 | Daniel Kuyper | Psychiatry & Neurology | 3931 Louisiana Ave. S. Suite E500, St Louis Park, MN 55426 | 2007-01-30 |
| 1669851572 | Armin Brian Jewell | Psychiatry & Neurology | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2015-05-26 |
| 1477791580 | Steven Trobiani | Psychiatry & Neurology | 2460 Highway 100 S, St Louis Park, MN 55416-4791 | 2009-01-27 |
| 1972759082 | Darwin Gerardo Ramirez Abreu | Psychiatry & Neurology | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2008-08-09 |
| 1730211863 | Mincep Epilepsy Care Pa | Psychiatry & Neurology | 5775 Wayzata Blvd, Suite 200, St Louis Park, MN 55416-1222 | 2007-03-12 |
| 1457375008 | Jeanne Louise Beattie | Psychiatry & Neurology | 3931 Louisiana Ave S, Suite E500, St Louis Park, MN 55426-4375 | 2006-07-27 |
| 1295756518 | Teresa Anh Tran-lim | Psychiatry & Neurology | 6490 Excelsior Blvd, Suite E500, St Louis Park, MN 55426-4705 | 2006-07-21 |
| 1104873314 | Sotirios Andreas Parashos | Psychiatry & Neurology | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-05-31 |
| 1508845272 | Frederick R Taylor Iv | Psychiatry & Neurology | 3931 Louisiana Ave S, Ste E500, St Louis Park, MN 55426-4375 | 2006-01-11 |
| 1033196969 | John M Worley | Psychiatry & Neurology | 6490 Excelsior Blvd, Ste E500, St Louis Park, MN 55426-4705 | 2005-12-30 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.