DR. LYLE ORLAND JOHNSON (NPI# 1821112822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821112822 |
| Entity Type | Individual |
| Full Name | DR. LYLE ORLAND JOHNSON |
| Credential | MD |
| Practice Address |
2025 E River Pkwy Minneapolis MN 55414-3604 |
| Mailing Address |
Po Box 8146 Horseshoe Bay TX 78657-8146 |
| Practice Telephone | 6125966100 |
| Practice Fax Number | 6125966102 |
| Mailing Telephone | 8305960559 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 18020 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548850 | Lyle Johnson | Massage Therapist | 8216 12th St Se, Lake Stevens, WA 98258-6663 | 2016-02-17 |
| 1831339589 | Lyle Foster Johnson | Occupational Therapy Assistant | 2657 Apd 40, Cleveland, TN 37323-0696 | 2009-02-20 |
| 1215021779 | Lyle E Johnson | Hearing Instrument Specialist | 909 Progress Circle, Suite 300, Salisbury, MD 21804 | 2006-10-02 |
| Street Address |
2025 E RIVER PKWY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
| 1437647682 | Shriners Hospitals for Children | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2018-04-24 |
| 1154721785 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-09-02 |
| 1629477310 | Rebecca Rouse | Physical Therapist | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-08-19 |
| 1114369006 | Shriners Hospitals for Children | Nurse Practitioner | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2013-07-22 |
| 1730432709 | Allyce Katherine Fisk | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414 | 2012-10-16 |
| 1669799201 | Nancy M Easter | Social Worker | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2010-04-21 |
| 1669702882 | Kim Marie Nieuwenhuis | Orthotist | 2025 E River Pkwy, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-11 |
| 1477883130 | Kari Ann Leifheit | Physical Therapist | 2025 E River Pkwy, Shriners Hospital, Minneapolis, MN 55414 | 2009-12-31 |
| 1497999676 | Charles Raydell Finnet | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922141449 | Jeffrey Alexander Macalena | Orthopaedic Surgery | 2450 Riverside Ave # R200, Minneapolis, MN 55454-1450 | 2007-02-14 |
| 1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
| 1134236284 | Patrick Yoon | Orthopaedic Surgery | 701 Park Avenue South, Minneapolis, MN 55415 | 2006-08-24 |
| 1932113487 | Jonathan Nubla Sembrano | Orthopaedic Surgery | 2450 Riverside Ave South., R200, Minneapolis, MN 55454-1450 | 2006-07-28 |
| 1962434837 | Renner Michael Johnston | Orthopaedic Surgery | 525 N 3rd St, Appt #306, Minneapolis, MN 55401-1239 | 2006-07-07 |
| 1902847601 | Christian M Ogilvie | Orthopaedic Surgery | 2512 South 7th Street, Minneapolis, MN 55454 | 2006-06-10 |
| 1750387734 | David C Templeman | Orthopaedic Surgery | 701 Park Ave, Department of Orthopedics, Minneapolis, MN 55415-1623 | 2005-06-23 |
| 1033115118 | Andrew H Schmidt | Orthopaedic Surgery | 914 S 8th St, Suite 600, Minneapolis, MN 55404-1210 | 2005-06-23 |
| 1568925600 | Paul Hoogervorst | Orthopaedic Surgery | 2450 Riverside Ave # R200, Minneapolis, MN 55454-1450 | 2019-04-06 |
| 1235527136 | Peter Leafblad | Orthopaedic Surgery | 715 S 8th St, Minneapolis, MN 55404-1210 | 2014-12-30 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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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.