Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ALAN JOHANSEN, M.D.
ActiveMATTHEW ALAN JOHANSEN, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in CINCINNATI, Ohio. NPI 1265757769 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · CINCINNATI, OH
Registration Details
- NPI Number
- 1265757769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2010 (16.425381557426 yrs)
- Last Updated
- Jul 14, 2016
- Licenses
-
0101258243 (VA)D79334 (MD)35.129257 (OH)TP268 (KY)
Practice Information
- Address
-
6480 HARRISON AVECINCINNATI, OH, 452477961Browse OH providers · Browse ZIP 45247
- Phone
- 5133543700
- Fax
- 5133547651
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in CINCINNATI, OH
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA MICHAEL MURPHY | MD | 1982866356 |
| DR. MATTHEW MANGINI | MD | 1114308608 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.