DR. PAUL RONALD JOHNSON


Address: N15w28300 Golf Rd, Pewaukee, WI 53072
Phone: 2623035055

DR. PAUL RONALD JOHNSON (NPI# 1124381710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124381710
Entity Type Individual
Full Name DR. PAUL RONALD JOHNSON
Credential M.D.
Practice Address N15w28300 Golf Rd
Pewaukee
WI 53072
Mailing Address N15w28300 Golf Rd
Pewaukee
WI 53072-4800
Practice Telephone 2623035055
Practice Fax Number 2623035057
Mailing Telephone 2623035055
Mailing Fax Number 2623035027
Enumeration Date 2012-06-19
Last Update Date 2019-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 69298 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1124381710 05

Other Providers PAUL JOHNSON

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1912337387 Paul Richard Johnson Dentist 13132 Newport Blvd, Suite 200, Tustin, CA 92780 2013-11-20
1720394034 Paul E Johnson Jr. Psychologist 1389 Mapleton Rd, Mapleton, ME 04757-4501 2010-08-24
1760645006 Paul Louis Johnson Anesthesiology Dept of Anesthesiology Univ of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 2008-07-07
1770742876 Paul Andrew Johnson Dentist 2901 Pioneer Ave, Rice Lake, WI 54868-2434 2008-06-03
1023288255 Paul David Johnson Dentist 25 Pine Cone Drive, Suite 1, Palm Coast, FL 32164 2008-03-04
1629268784 Paul Robert Johnson Counselor 16715 Ne 79th St, Redmond, WA 98052-4425 2007-07-25
1467577627 Paul Edward Johnson Pharmacist 3803 South Main St, Marion, NY 14505-0047 2007-03-20
1659495497 Paul D Johnson Family Medicine 221 North 12th Street, Suite 300, Kansas City, KS 66102-0000 2007-03-19
1932242435 Paul Leo Johnson Optometrist 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 2007-02-14

Office Location

Street Address N15W28300 GOLF RD
City PEWAUKEE
State WI
Zip Code 53072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124803 Scott Bennett Schneider Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2005-06-17
1548893092 Alan Thiede Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2020-02-12
1154976124 Briana Rae Kissinger Physical Therapist N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2019-08-07
1568946093 Amanda R Schlundt Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2018-09-20
1245746007 Samantha K Krueger Physical Therapist N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2017-12-15
1316461031 Julie Skrypchak Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2017-08-03
1407385305 Ryan Murphy Willging Physical Therapist N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2017-06-06
1891231486 Danielle E Willey Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2017-01-06
1447627260 Jordan David Krause Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2015-08-27
1265812853 Ryan Hamm Physician Assistant N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2015-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740805423 Froedtert Health Neighborhood Hospital, LLC General Acute Care Hospital 209 Pewaukee Rd, Pewaukee, WI 53072 2020-06-09
1871122556 Mary Kofigah Nurse Practitioner 21150 W. Capital Dr., Brookfield, WI 53072 2020-04-05
1609436559 Brianna Kelly Bates Optometrist 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 2019-06-13
1932767316 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1440 Capital Drive, Suite B, Pewaukee, WI 53072 2019-05-31
1417426925 Edward Dow Psychologist W268n1988 Shooting Star Road, Pewaukee, WI 53072 2018-11-14
1346664869 Jane Sweney Counselor 325 Forest Grove Drive, Pewaukee, WI 53072 2014-02-05
1093082182 Kristin Elizabeth Thieneman Pharmacist 443 Pewaukee Road, Pewaukee, WI 53072 2011-11-17
1922318393 Ariane Machin Psychologist 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 2010-10-19
1083930879 Scott Robert Borkenhagen Student in an Organized Health Care Education/Training Program 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 2010-04-19
1912174988 Robert Thomas Lynch Dentist 234 Oakton Ave, Pewaukee, WI 53072 2008-05-09
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265414866 Thomas Scott Stanwyck Orthopaedic Surgery 1231 George Towne Dr, Suite B, Pewaukee, WI 53072 2005-11-18
1134124803 Scott Bennett Schneider Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2005-06-17
1750657904 Mitchell Robert Klement Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072 2012-03-31
1841578879 Samuel Rh Steiner Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2011-07-25
1215226436 Christopher Michael Kilian Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072 2011-03-29
1861713265 Laith Mutasem Al-shihabi Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072 2010-06-20
1528382413 Jeffrey Miles Coppage Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072 2010-03-21
1659467132 James A Foley Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2006-10-04
1689787764 Thomas Blake Viehe Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2006-08-16
1588627368 Matthew Robert Bong Orthopaedic Surgery N15w28300 Golf Rd, Pewaukee, WI 53072-4800 2006-04-11
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Competitor

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City PEWAUKEE
Zip Code 53072

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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