MR. RANDALL ROY JOHNSON


Address: 1305 W American Dr, Neenah, WI 54956-1993
Phone: 9207259373

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 47081 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 3455700 05
WI RAILROAD MEDICARE P00144769 01

Other Providers RANDALL JOHNSON

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

Office Location

Street Address 1305 W AMERICAN DR
City NEENAH
State WI
Zip Code 54956-1993

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City NEENAH
Zip Code 54956

Improve Information

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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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