Matthew Alan Johansen
Adult Reconstructive Orthopaedic Surgeon
6480 Harrison Ave
Cincinnati
, Ohio 45247-7961
Matthew Alan Johansen
Adult Reconstructive Orthopaedic Surgeon
6480 Harrison Ave
Cincinnati
, Ohio 45247-7961
(513) 354-7651
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Matthew Alan Johansen
- 6480 Harrison Ave Suite 201
- Cincinnati, OH
- Zip : 45247-7961
- Fax : (513) 354-7651
- Phone : (513) 354-3700
Second Address
- Matthew Alan Johansen
- 6480 Harrison Ave
- Cincinnati, OH
- Zip : 45247-7961
- Fax : (513) 354-7651
- Phone : (513) 354-3700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101258243 | VA |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35.129257 | OH |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D79334 | MD |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | TP268 | KY |
National Provider Identifier
| NPI | 1265757769 |
|---|---|
| Provider Name | Matthew Alan Johansen |
| First Address | Cincinnati, OH 45247-7961 |
| Second Address | Cincinnati, OH 45247-7961 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2010 |
| Last Update Date | 14/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.