LISA BETH WURNIG-JOHNSON (NPI# 1407945918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407945918 |
| Entity Type | Individual |
| Full Name | LISA BETH WURNIG-JOHNSON |
| Other Name | LISA KAUTZ |
| Credential | PA-C |
| Practice Address |
815 1st Ave Se Aberdeen SD 57401-4602 |
| Mailing Address |
Po Box 1460 Aberdeen SD 57402-1460 |
| Practice Telephone | 6056225123 |
| Practice Fax Number | 6056225906 |
| Mailing Telephone | 6056222876 |
| Mailing Fax Number | 6056222804 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0480 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
815 1ST AVE SE |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515736 | Marie Quaschnick | Nurse Practitioner | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2005-11-18 |
| 1982030177 | Avera St. Luke's | Physician Assistant | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2013-09-19 |
| 1083051817 | Avera St. Luke's | Anesthesiology | 815 1st Ave Se, Aberdeen, SD 57401 | 2013-06-03 |
| 1386991412 | Olawunmi Aabiodun Lawal | Internal Medicine | 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 | 2012-08-08 |
| 1871869172 | Blake Anthony Heinz | Internal Medicine | 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 | 2012-03-30 |
| 1184893349 | Arlin Monroe Myrmoe | Internal Medicine | 815 1st Ave Se, Suite E104, Aberdeen, SD 57401-4602 | 2008-02-21 |
| 1528255775 | Avera St. Luke's | Orthopaedic Surgery | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2007-10-02 |
| 1770603888 | Shawna M. Schmidt | Anesthesiology | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2007-03-30 |
| 1588715064 | Kendall R. Goetz | Pharmacist | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2007-01-13 |
| 1588752463 | Jennifer Joyce Daggett | Pharmacist | 815 1st Ave Se, #202, Aberdeen, SD 57401-4602 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007911 | Jill Marie Gassen | Physician Assistant | 2501 W 22nd Street, Sioux Falls, SD 57117-5046 | 2007-03-06 |
| 1790746105 | Nichole Renae Friessen | Physician Assistant | 575 Sioux Point Road, Dakota Dunes, SD 57049 | 2006-03-28 |
| 1285602649 | David A Welch | Physician Assistant | 1001 E. 21st St., Ste 301, Sioux Falls, SD 57105 | 2006-03-10 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1811546385 | Lindsey Nicole Bouma | Physician Assistant | 911 E 20th St Ste 700, Sioux Falls, SD 57105-1049 | 2019-09-08 |
| 1023678307 | William Ashton Mcguire | Physician Assistant | 2805 5th St, Rapid City, SD 57701-6003 | 2019-06-18 |
| 1144880535 | Morgan Elizabeth Kleinsasser | Physician Assistant | 4150 5th St, Rapid City, SD 57701-6022 | 2019-06-18 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
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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.