Provider Demographics
NPI:1831122738
Name:RAGAN, JOHN J (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:RAGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-8364
Mailing Address - Fax:
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45285207RC0000X
ND9026207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND023L1RAOtherMNBS #
NDND200233OtherLHS #
ND11901Medicaid
ND1630861OtherAMERICA'S PPO/ARAZ #
ND2500737OtherMEDICA #
ND142759OtherUCARE #
NDHP38402OtherHEALTHPARTNERS #
ND040502700Medicaid
ND21998OtherNDBS #
NDDA9011031161OtherPREFERRED ONE #
ND11901Medicaid
ND040502700Medicaid
ND142759OtherUCARE #
NDG54360Medicare UPIN
MN060001592Medicare ID - Type UnspecifiedMN MEDICARE #
ND060068046Medicare ID - Type UnspecifiedRR MEDICARE #
NDDA9011031161OtherPREFERRED ONE #
ND2500737OtherMEDICA #
ND1630861OtherAMERICA'S PPO/ARAZ #
ND21998Medicare ID - Type UnspecifiedND MEDICARE #