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Deactivated NPI 1821112822 Deactivated / Inactive NPI Male Practitioner

Dr. Lyle Orland Johnson , MD

Orthopaedic Surgery • Minneapolis, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lyle Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2007
NPI Deactivation Date November 15, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Lyle Johnson, MD was a registered Orthopaedic Surgery practicing in Minneapolis, MN. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 2025 E RIVER PKWY until profile deactivation on 2024-11-15.

Practice Location & Contact Primary Location

Practice Address

2025 E River Pkwy

Minneapolis, MN 554143604

Telephone 6125966100
Fax 6125966102
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
59 Specialists

Practicing in Minneapolis, MN (674 Statewide)

Telehealth Adoption Rate
39.0% 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

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 18020

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

29 Associated Practitioners
Sarah Werner , PA-C

Physician Assistant

NPI 1124126412

Physician Assistant (Certified)

Katherine Hill , RT(R)

Radiologic Technologist

NPI 1124358270
Dr. Michael Priola , DO

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1134321789

Doctor of Osteopathic Medicine (D.O.)

Julia Varno , PT

Physical Therapist - Pediatrics

NPI 1134450992

Physical Therapist

NPI 1215268859

Certified Orthotist

Cassie Groff , PT

Physical Therapist - Pediatrics

NPI 1225368061

Physical Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 15, 2024

Record deactivated on November 15, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2025 E RIVER PKWY, MINNEAPOLIS, MN 554143604 (Tel: 6125966100)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 8146, HORSESHOE BAY, TX 786578146 (Tel: 8305960559)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LYLE JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #18020 in MN)

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Initial NPI Registration & Enumeration March 17, 2007

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: 1821112822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2007
Last Update: July 08, 2007
Deactivation Date: November 15, 2024

Mailing Address

Po Box 8146

Horseshoe Bay, TX 786578146

Phone: 8305960559

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.