DEVIN BROOKE JOHNSON (NPI# 1154365625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154365625 |
| Entity Type | Individual |
| Full Name | DEVIN BROOKE JOHNSON |
| Credential | M.D. |
| Practice Address |
3217 Stein Blvd Eau Claire WI 54701-6946 |
| Practice Telephone | 7158356548 |
| Practice Fax Number | 7158357708 |
| Mailing Telephone | 7158356548 |
| Mailing Fax Number | 7158357708 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 40161-20 | WI | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 40161-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34608500 | 05 | |
| WI | DEAN HEALTH INSURANCE | 60363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568921419 | Devin Cyrus Owen Johnson | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave # Mlc5018, Cincinnati, OH 45229-3026 | 2019-03-19 |
| 1588121016 | Devin Johnson | Counselor | 4845 Jamestown Ave Ste 208, Baton Rouge, LA 70808-3248 | 2019-02-20 |
| 1881159515 | Devin Lucas Johnson | Physical Therapist | 12650 N Beach St Ste 150, Fort Worth, TX 76244-4243 | 2019-02-06 |
| 1336614999 | Devin Johnson | Rehabilitation Practitioner | 3928 Carla Ann Rd, North Las Vegas, NV 89081-4086 | 2018-10-10 |
| 1972009322 | Devin D Johnson | Chiropractor | 621 Commons Dr, Fulton, MO 65251-1489 | 2018-04-04 |
| 1306396866 | Devin Johnson | Physical Therapist | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2016-10-09 |
| 1780849547 | Devin Phillips Johnson | Dentist | 2000 Abbott Rd, Suite 202, Anchorage, AK 99507-3878 | 2008-07-22 |
| 1891737755 | Devin J Johnson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-12 |
| Street Address |
3217 STEIN BLVD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710060199 | Western Wisconsin Urology | Urology | 3217 Stein Blvd, Eau Claire, WI 54701-6995 | 2006-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326428 | Michael S. Hirsh | Urology | 3203 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1376595074 | Josiah D Nelson | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-05-17 |
| 1265774384 | Melissa A Nissen | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2013-03-27 |
| 1750582599 | Andrew E Jahoda | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-05-30 |
| 1548482177 | Christopher Karl Tornehl | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2007-05-03 |
| 1538215157 | Sean Primley | Urology | 1400 Bellinger St, Eau Claire, WI 54703 | 2007-01-26 |
| 1053497131 | David J Katz | Urology | 3203 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1972689057 | James S. Iwakiri | Urology | 3217 Stein Boulevard, Eau Claire, WI 54701-6995 | 2006-10-31 |
| 1710060199 | Western Wisconsin Urology | Urology | 3217 Stein Blvd, Eau Claire, WI 54701-6995 | 2006-10-22 |
| 1407956113 | Robert M. Washecka | Urology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-09-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.