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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 69298 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1124381710 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356757850 | Paul Johnson | Dentist | 1301 N 40th St, Lincoln, NE 68503-2109 | 2014-07-03 |
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 |
Street Address |
N15W28300 GOLF RD |
City | PEWAUKEE |
State | WI |
Zip Code | 53072 |
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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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 |
Find all providers in zip 53072 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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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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.