Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497784706 Individual Practitioner Male Practitioner

Dr. Frederick A Johansen , MD

Pediatrics • Stevensville, MI

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Johansen, MD is a registered healthcare professional specializing in Pediatrics in Stevensville, MI. Practice services are available at 5515 CLEVELAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5515 Cleveland Ave
Suite 1

Stevensville, MI 491279670

Telephone 2694296604
Fax 2694291715
Associated Practice Facility / Clinic
🏢 Lakeland Medical Practices Facility NPI 1326366816

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stevensville, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Stevensville, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301038022

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2893915 (MI)
Commercial Insurance / Payer ID Cigna
1013407 (MI)
Commercial Insurance / Payer ID Blue Cross
3501103141 (MI)
Commercial Insurance / Payer ID Railroad Medicare
370004513 (MI)
Commercial Insurance / Payer ID Php
12-31141 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Stephanie Welch , PA

Physician Assistant - Medical

NPI 1134464167

Physician Assistant

NPI 1144546250

Doctor of Medicine (M.D.)

NPI 1285670448

Doctor of Medicine (M.D.)

NPI 1417380221

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Betsy Becker , NP

Nurse Practitioner

NPI 1427433176

Nurse Practitioner

NPI 1437188877

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2008

Registered at 5515 CLEVELAND AVE, SUITE 1, STEVENSVILLE, MI 491279670 (Tel: 2694296604)

📍
Updated Business Mailing Address December 05, 2008

Registered at 5515 CLEVELAND AVE, SUITE 1, STEVENSVILLE, MI 491279670 (Tel: 2694296604)

👤
Provider Name / Credentials Updated December 05, 2008

Recorded as FREDERICK JOHANSEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2008

Pediatrics (License #4301038022 in MI)

🟢
Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497784706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

5515 Cleveland Ave, Suite 1

Stevensville, MI 491279670

Phone: 2694296604

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.