Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell A Johanson, MD

Individual provider Emergency Medicine Physician · NPI 1902190051

Russell A Johanson, MD is an Emergency Medicine in Palmer, Alaska. Graduated from University of Connecticut School of Medicine in 2011, 15 years ago. Practices with Matsu Emergency Medicine Physicians Corp, an 18-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
15
Trained at
University of Connecticut School of Medicine
Licensed in
AK
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone: (907) 861-6000
Fax: (907) 861-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MEDS7975 (AK)

Record details

NPI number1902190051
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESNovember 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Matsu Emergency Medicine Physicians Corp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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