# JAMES F JOHNSON, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750468765
- **Authorized official:** DR. JAMES FRED JOHNSON M.D. (PRESIDENT)
- **Authorized official phone:** (701) 241-9300

## Contact information

- **Practice address:** 2301 25TH ST S, SUITE I, FARGO, ND 58103-6104
- **Practice address phone:** (701) 241-9300
- **Practice address fax:** (701) 235-4525
- **Mailing address:** 2301 25TH ST S, SUITE I, FARGO, ND 58103-6104
- **Mailing address phone:** (701) 241-9300
- **Mailing address fax:** (701) 235-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 3782 | ND | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0023210 | WELLMARK BCBS | SD |
| 01 | — | 01076001 | ND BC BS | ND |
| 05 | — | 14556 | — | ND |
| 05 | — | 414453000 | — | MN |
| 01 | — | 52234 | HEALTH PARTNERS | — |
| 01 | — | 58A10J0 | MN BC BS | MN |
| 05 | — | 6402130 | — | SD |
| 01 | — | 9809329 | MEDICA | — |
| 01 | — | DG2494 | RR MEDICARE | — |