MEDICARE: DR. DARRIN LEE JOHNSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	22722	ND
2	2085R0202X	Diagnostic Radiology Physician	25691	AL
3	2085R0202X	Diagnostic Radiology Physician	13717-320	WI
4	2085R0202X	Diagnostic Radiology Physician	80188	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	51595651	OTHER	AL	BCBS
7	51595653	OTHER	AL	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	51523000	OTHER	AL	BCBS OF AL
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	51067178	OTHER	AL	BCBS
12	51595650	OTHER	AL	BCBS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	51595655	OTHER	AL	BCBS
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21	51545591	OTHER		BCBS-ONC. SPEC.
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	51595652	OTHER	AL	BCBS
24	51595654	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1023091857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRIN LEE JOHNSON M.D.

Provider Business Mailing Address
First Line	:	2355 HWY 36 W
Second Line	:	STE. 100
City	:	ROSEVILLE
State	:	MN
Zip	:	55113
Country	:	US
Telephone Number	:	651-292-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 HWY 36 W
Second Line	:	STE. 100
City	:	ROSEVILLE
State	:	MN
Zip	:	55113
Country	:	US
Telephone Number	:	651-292-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	02/02/2026

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