MADDIE JOHNSON (NPI# 1295156768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295156768 |
Entity Type | Individual |
Full Name | MADDIE JOHNSON |
Other Name | MADDIE HOLT |
Credential | PA-C |
Practice Address |
711 Onyx St Kemmerer WY 83101-3214 |
Practice Telephone | 3078774401 |
Enumeration Date | 2013-12-30 |
Last Update Date | 2017-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA587 | WY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
TL587 | WY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PT587 | WY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598264541 | Maddie Elizabeth Johnson | Counselor | 444 S Willow St Ste 7, Effingham, IL 62401-3764 | 2018-02-06 |
1285287789 | Maddie R Johnson | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2019-07-23 |
1235607797 | Maddie Johnson | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2018-11-02 |
Street Address |
711 ONYX ST |
City | KEMMERER |
State | WY |
Zip Code | 83101-3214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033221569 | South Lincoln Hospital District | Hospitalist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2006-08-31 |
1619592953 | Phillip Robert Rutledge | Physician Assistant | 711 Onyx St, Kemmerer, WY 83101-3214 | 2020-06-12 |
1861027369 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2020-03-05 |
1386121986 | Matthew Thomson | Physician Assistant | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1962898080 | Benjamin Head | Student in an Organized Health Care Education/Training Program | 711 Onyx St, Kemmerer, WY 83101 | 2015-04-15 |
1063811867 | Ania Mathews | Pharmacist | 711 Onyx St, Kemmerer, WY 83101-3214 | 2014-08-18 |
1316376189 | Parry Davison | Nurse Anesthetist, Certified Registered | 711 Onyx St, Kemmerer, WY 83101-3214 | 2013-11-02 |
1215170311 | Chad William Seiler | Family Medicine | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-04-20 |
1881834927 | South Lincoln Hospital District | Medicare Defined Swing Bed Unit | 711 Onyx St, Kemmerer, WY 83101-3214 | 2009-03-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508082785 | Natosha Clatterbaugh | Speech-Language Pathologist | 1208 Elk Street, Kemmerer, WY 83101 | 2007-04-17 |
1134353998 | Ihc Health Services Inc | Clinic/Center | 702 Onyx St, Kemmerer, WY 83101-0000 | 2009-05-08 |
1952499360 | Robert P. Tyrrell | Dentist | 1702 Antelope, Kemmerer, WY 83101-0228 | 2006-10-11 |
1235107954 | Robert D. Schaffarzick | Optometrist | 816 Klondyke St, Kemmerer, WY 83101-2903 | 2006-03-09 |
1952782930 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 700 Cedar Ave, Suite 201, Kemmerer, WY 83101-2928 | 2015-06-15 |
1770090698 | Scherr Chiropractic Clinic | Chiropractor | 313 Sapphire St, Kemmerer, WY 83101-2950 | 2017-12-30 |
1841331709 | Hna, Inc. | Pharmacy | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2007-02-12 |
1730460221 | Ridley's Family Markets Inc | Pharmacy | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2011-08-29 |
1083743959 | Wesley Rick Somers | Pharmacist | 620 Pine Ave, Kemmerer, WY 83101-3002 | 2007-03-05 |
1487911723 | Jennifer Rosa Benson | Counselor | 821 Sage Ave, Kemmerer, WY 83101-3113 | 2012-04-11 |
Find all providers in zip 83101 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
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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.