MARK C. JOHANNSEN MD – NPI #1609812718
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MARK JOHANNSEN is a radiologist located in FREMONT, NE. NPPES has assigned the NPI number 1609812718 to MARK JOHANNSEN on June 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK JOHANNSEN below.

NPI Profile for
MARK C. JOHANNSEN

NPI Number
1609812718
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK C. JOHANNSEN
Credentials
MD
Primary location
450 E 23RD ST
FREMONT, NE 68025
Phone: (402) 721-3070 Fax: (402) 727-3513
Mailing address
415 EAST 23RD ST
STE 210
FREMONT, NE 68025-2343
Phone: (402) 721-4866 Fax: (402) 721-3229
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK JOHANNSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNE47058135000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NE 19406

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.