JASMINE JOHN (NPI# 1205214178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205214178 |
Entity Type | Individual |
Full Name | JASMINE JOHN |
Credential | MD |
Practice Address |
3021 Voyager Dr Green Bay WI 54311-8303 |
Practice Telephone | 9204964700 |
Mailing Telephone | 9204964700 |
Enumeration Date | 2015-05-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
72055-20 | WI | Allopathic & Osteopathic Physicians |
Street Address |
3021 VOYAGER DR |
City | GREEN BAY |
State | WI |
Zip Code | 54311-8303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
1518451418 | Amanda Smith | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-06-14 |
1881182715 | Elizabeth Lindner | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2018-04-26 |
1265882559 | Ashley Lynn Wilson | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-06-16 |
1376990408 | Nicholas Schiedermayer | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2016-05-18 |
1639534209 | Abigail Riegelman | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2015-12-23 |
1396150892 | Kim M Schmeling | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-06-24 |
1578973897 | Nicholas Kropp | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2014-05-08 |
1982040796 | Cathy L Lentz | Physical Therapist | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-05-20 |
1851630834 | Suzette M Bornemann | Nurse Practitioner | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2013-02-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
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Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699747105 | Al Baltrusaitis | Preventive Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2006-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093226144 | Healthstat Onsite Clinic Hsm Sheboygan | Preventive Medicine | 2216 S 24th St, Sheboygan, WI 53081-5548 | 2017-10-17 |
1467982751 | Healthstat Onsite Clinic Elmbrook School District | Preventive Medicine | 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 | 2017-06-19 |
1700315033 | Healthstat Onsite Clinic City of Racine | Preventive Medicine | 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 | 2017-06-09 |
1790224780 | Healthstat Onsite Clinic-alm Consolidated | Preventive Medicine | 920 10th Ave N Ste Wellness, Onalaska, WI 54650-2166 | 2017-02-23 |
1558805689 | Healthstat Onsite Clinic Alm Holdings | Preventive Medicine | 920 10th Ave N, Onalaska, WI 54650-2166 | 2016-12-08 |
1619411733 | Healthstat Onsite Clinic Jj Keller Appleton | Preventive Medicine | 5 Innovation Ct, Appleton, WI 54914-1742 | 2016-12-08 |
1851717698 | Carl Zenz | Preventive Medicine | S75w20937 Field Dr, Muskego, WI 53150-8934 | 2014-03-17 |
1083640502 | Constantine Dumas | Preventive Medicine | 2009 S Memorial Dr, Appleton, WI 54915-1222 | 2006-06-25 |
1710950266 | Jean Deuster | Preventive Medicine | 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 | 2006-02-07 |
1497726392 | Joseph Michael Zompa | Preventive Medicine | 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 | 2006-01-30 |
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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.