MADDIE JOHNSON


Address: 711 Onyx St, Kemmerer, WY 83101-3214
Phone: 3078774401

MADDIE JOHNSON (NPI# 1295156768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers MADDIE JOHNSON

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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

Office Location

Street Address 711 ONYX ST
City KEMMERER
State WY
Zip Code 83101-3214

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City KEMMERER
Zip Code 83101

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Dataset Information

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.

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