Stefan Walter Johnson, MD | |
1300 S Columbia Rd, Grand Forks, ND 58201 | |
(701) 780-2300 | |
(701) 777-2609 |
Full Name | Stefan Walter Johnson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 1300 S Columbia Rd, Grand Forks, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932338613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 64958 (Minnesota) | Secondary |
208600000X | Surgery | 13356 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru Hospital | Grand forks, ND | Hospital |
Kittson Memorial Hospital | Hallock, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Altru Health System | 1355251604 | 520 |
Altru Health System | 1355251604 | 520 |
Entity Name | Altru Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
Mailing Address | Practice Location Address |
---|---|
Stefan Walter Johnson, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Stefan Walter Johnson, MD 1300 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-2300 |
Seye Adekeye, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 N Columbia Rd Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202 Phone: 701-777-3067 | |
Jonathan Roberts, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd Stop 9037, Suite E270, Grand Forks, ND 58202 Phone: 701-777-5945 | |
Bradley P Belluk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-1942 | |
Dr. Kathleen Claire Gallagher, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 S. Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Dr. Wade Anthony Hopper, DO Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202 Phone: 701-777-3069 | |
Katherine Alice Senter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 | |
Adrian Sarli, MD Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd, Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202 Phone: 701-293-4151 |