DR. SCOTT B JOHNSON (NPI# 1215045836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215045836 |
| Entity Type | Individual |
| Full Name | DR. SCOTT B JOHNSON |
| Credential | MD |
| Practice Address |
855 N Westhaven Dr Oshkosh WI 54904 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9203038700 |
| Practice Fax Number | 9203034129 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40162 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32621200 | 05 | |
| DEA NUMBER | BJ6110011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
| 1033630033 | Scott Charles Johnson | Counselor | 40853 Cecina Way, Bermuda Dunes, CA 92203-1171 | 2017-06-29 |
| 1487106753 | Scott Johnson | Counselor | 104 Usher St, Bennettsville, SC 29512-2710 | 2016-11-02 |
| 1861840738 | Scott Johnson | Contractor | 6139 S Garrison St, Littleton, CO 80123-3437 | 2016-06-01 |
| 1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
| 1376825356 | Scott Andrew Johnson | Physical Therapist | 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 | 2011-09-15 |
| 1801125075 | Scott Rene Johnson | Pharmacist | 6803 Pinehearth Ct, Spring, TX 77379 | 2009-12-16 |
| 1437367919 | Scott Alan Johnson | Physical Therapist | 91 Goldengate Drive, Centerville, OH 45459 | 2007-05-18 |
| 1063629293 | Scott Marvin Johnson | Pharmacist | 15100 N 90th St, Scottsdale, AZ 85260-2769 | 2007-05-17 |
| 1275740458 | Scott Johnson | Marriage & Family Therapist | 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 | 2007-05-17 |
| Street Address |
855 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942212 | Jeffrey H Goldman | Internal Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2005-06-16 |
| 1336766971 | Jason R Schultz | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-06-30 |
| 1437771078 | Kyle Rozek | Physical Therapy Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-05-16 |
| 1447870050 | Inshirah V Robinson | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-04-23 |
| 1902433022 | Paige Weigandt | Massage Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-03-26 |
| 1700418944 | Michelle Hill | Pharmacist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2020-02-05 |
| 1306483854 | Ashley Rose Heesacker | Physician Assistant | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-12-03 |
| 1730730730 | Brittany L Hood | Nurse Anesthetist, Certified Registered | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-09-23 |
| 1821645391 | Jenna Rose Daun | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| 1659928141 | Troy Mcgilligan | Physical Therapist | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2019-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326567140 | Mary Kay Benotsch | Registered Nurse | 505 South Washburn Street, Oshkosh, WI 54904 | 2017-09-13 |
| 1295278356 | Braden Williams | Nurse Anesthetist, Certified Registered | 955 Pheasant Creek Dr, Oshkosh, WI 54904 | 2016-11-22 |
| 1740651330 | Ams of Wisconsin - Oshkosh | Clinic/Center | 595 South Washburn St, Oshkosh, WI 54904 | 2015-10-08 |
| 1174990253 | Kaochi Desjheannette Vang | Occupational Therapist | Aurora Medical Center of Oshkosh - Rehab, 855 N. Westhaven Drive, Oshkosh, WI 54904 | 2015-08-25 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1275847543 | Eden Rehabilitation Suites and Green House Homes, Inc. | Skilled Nursing Facility | 3151 Eden Court, Oshkosh, WI 54904 | 2010-07-29 |
| 1700043502 | Eric Koehler | Physical Therapist | 3475 Omro Rd Ste 300, Oshkosh, WI 54904 | 2008-05-20 |
| 1831396167 | Angela Marie Wade | Behavioral Analyst | 2986 Fitchburg Ct., Oshkosh, WI 54904 | 2007-06-29 |
| 1174642383 | Michael Gerard Bell | Dentist | 1795 West Pointe Dr, Oshkosh, WI 54904 | 2007-03-28 |
| 1235253030 | Jessica Anne Bielmeier | Registered Nurse | 2700 West 9th Ave #125, Oshkosh, WI 54904 | 2007-03-19 |
| Find all providers in zip 54904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1962496869 | Laurie L Muller | Pediatrics | 964 Trillium Trl, Oshkosh, WI 54904-7670 | 2005-09-07 |
| 1316331960 | Jelena Kravic Shadick | Pediatrics | 2700 W 9th Ave, Oshkosh, WI 54904 | 2015-03-21 |
| 1003109794 | Zainab Kagen | Pediatrics | 2700 W 9th Ave, Suite 211, Oshkosh, WI 54904-7247 | 2011-05-27 |
| 1093032104 | Angela Katsma | Pediatrics | 1855 S Koeller St, Oshkosh, WI 54902-6214 | 2010-04-28 |
| 1578748802 | Santi Budiasih | Pediatrics | 1855 S Koeller St, Oshkosh, WI 54902-6214 | 2008-01-06 |
| 1942319637 | Valerie Zapolsky | Pediatrics | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-29 |
| 1376651596 | Matthew Paige Downs | Pediatrics | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-28 |
| 1306953419 | Jean Ruth Thur | Pediatrics | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-24 |
| 1336256882 | Vee Ly | Pediatrics | 855 N Westhaven Dr, Oshkosh, WI 54904 | 2006-08-23 |
| Find all providers in OSHKOSH | ||||
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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.