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Deactivated NPI 1790769313 Deactivated / Inactive NPI Male Practitioner

Ralph Todd Johansen , PA

Physician Assistant - Surgical • Florence, OR

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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, Ralph Johansen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2005
NPI Deactivation Date July 06, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Ralph Johansen, PA was a registered Physician Assistant - Surgical practicing in Florence, OR. Throughout an active medical career spanning 17 years, Ralph Johansen provided care at the practice location at 530 NINTH STREET until profile deactivation on 2022-07-06.

Historical Medicare Part B clinical services included replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

530 Ninth Street

Florence, OR 97439

Telephone 5419977104
Fax 5419975973

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Florence, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Florence, OR (368 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
15 15 $136.09 $133.91

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OR PA00032

Definition to come...

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Stephen Riffenburgh , MD

Orthopaedic Surgery

NPI 1164581161

Doctor of Medicine (M.D.)

Andrea Mccoy , PA-C

Physician Assistant

NPI 1215922364

Physician Assistant (Certified)

Dr. Evan Tavakoli , MD

Orthopaedic Surgery

NPI 1275894461

Doctor of Medicine (M.D.)

Dr. Alec Fedorov , MD

Orthopaedic Surgery

NPI 1467401554

Doctor of Medicine (M.D.)

Dr. Wade Van Sice , MD

Orthopaedic Surgery

NPI 1467625756

Doctor of Medicine (M.D.)

Dr. Bruce Watanabe , MD

Orthopaedic Surgery

NPI 1497798367

Doctor of Medicine (M.D.)

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 July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active December 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2009

Registered at 530 NINTH STREET, FLORENCE, OR 97439 (Tel: 5419977104)

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Updated Business Mailing Address December 17, 2009

Registered at 530 9TH ST, FLORENCE, OR 974397388 (Tel: 5419977104)

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Provider Name / Credentials Updated December 17, 2009

Recorded as RALPH JOHANSEN, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2009

Physician Assistant (License #PA00032 in OR)

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Initial NPI Registration & Enumeration December 06, 2005

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: 1790769313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2005
Last Update: December 17, 2009
Deactivation Date: July 06, 2022

Mailing Address

530 9th St

Florence, OR 974397388

Phone: 5419977104

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.