Individual
DR. FREDERICK A JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301038022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013407
CIGNA
MI
01
—
12-31141
PHP
MI
05
—
2893915
—
MI
01
—
3501103141
BLUE CROSS
MI
01
—
370004513
RAILROAD MEDICARE
MI
Enumeration date
06/30/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up