MR. RANDALL ROY JOHNSON (NPI# 1447293188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447293188 |
Entity Type | Individual |
Full Name | MR. RANDALL ROY JOHNSON |
Credential | MD |
Practice Address |
1305 W American Dr Neenah WI 54956-1993 |
Mailing Address |
1305 West American Drive Neenah WI 54956-2883 |
Practice Telephone | 9207259373 |
Practice Fax Number | 9207207392 |
Mailing Telephone | 9207259373 |
Mailing Fax Number | 9207207392 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2012-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 47081 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 3455700 | 05 | |
WI | RAILROAD MEDICARE | P00144769 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598828899 | Randall Craig Johnson | Dentist | 103 W Jefferson Ave, Belgrade, MT 59714-4419 | 2006-12-18 |
1225104664 | Randall S Johnson | Physical Therapist | 105 Meadow View Rd, Suite 4, Bristol, TN 37620-1725 | 2006-11-28 |
1659482669 | Randall Warren Johnson | Dentist | 304 W Lyon St, Marshall, MN 56258-1308 | 2006-08-31 |
1780640391 | Randall Richard Johnson | Optometrist | 102 E Kimberly Rd, Davenport, IA 52806-5922 | 2006-04-22 |
1407338627 | Randall Johnson | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2018-09-04 |
1750867651 | Randall Johnson Jr. | Registered Nurse | 2659 Peery Ave, Kansas City, MO 64127-1300 | 2018-07-13 |
1417375866 | Randall James Johnson | Internal Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2014-04-02 |
1306181276 | Randall E Johnson | Anesthesiologist Assistant | 410 S 11th St, Lake Wales, FL 33853-4203 | 2012-12-04 |
1194000497 | Randall Johnson | Pharmacist | 800 Swift Blvd, Suite 140, Richland, WA 99352-3549 | 2011-10-18 |
1225279995 | Randall Kay Johnson | Dentist | 1434 E 9400 S, Suite 200, Sandy, UT 84093-2957 | 2009-03-10 |
Street Address |
1305 W AMERICAN DR |
City | NEENAH |
State | WI |
Zip Code | 54956-1993 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154328896 | Kelley Jane Parnell | Psychiatry & Neurology | 1305 W American Dr, Neenah, WI 54956-1993 | 2005-07-07 |
1740893114 | Lauran M Brice | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2020-08-26 |
1235785478 | Arienne Krizenesky | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2019-08-13 |
1003388208 | Baycare Clinic, LLP | Psychologist | 1305 W American Dr, Neenah, WI 54956-1993 | 2018-12-28 |
1417434044 | Christine Elizabeth Mcgee | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2018-07-26 |
1215471461 | The Neuroscience Group of Northeast Wisconsin, Sc | Durable Medical Equipment & Medical Supplies | 1305 W American Dr, Neenah, WI 54956-1993 | 2016-12-07 |
1295284560 | Jaime Lynn Velie | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2016-09-28 |
1033595087 | Maria T Joseph | Physical Therapist | 1305 W American Dr, Neenah, WI 54956-1993 | 2015-07-31 |
1033523329 | Daniel Long | Psychiatry & Neurology | 1305 W American Dr, Neenah, WI 54956-1993 | 2014-06-16 |
1053606376 | Rebecca A. Van Heuklon | Physical Therapist | 1305 W American Dr, Neenah, WI 54956-1993 | 2011-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619070802 | Alexander Todd Hawkins | Neurological Surgery | 1305 W American Dr, Neenah, WI 54956-1993 | 2006-09-06 |
1245272442 | Thomas Alston Lyons | Neurological Surgery | West Pavillon 2nd Floor 130 2nd Street, The Neuroscience Group of Ne Wi, Neenah, WI 54956-2883 | 2006-06-12 |
1740221910 | Sumon Bhattacharjee | Neurological Surgery | 1305 W American Dr, Neenah, WI 54956-1993 | 2006-06-09 |
1538119649 | Philip Andrew Yazbak | Neurological Surgery | 1305 W American Dr, Neenah, WI 54956-1993 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
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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.