DAN JOHNSTON (NPI# 1447657333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447657333 |
| Entity Type | Individual |
| Full Name | DAN JOHNSTON |
| Practice Address |
3117 Shore Dr Marinette WI 54143-4293 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 7157328200 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891762118 | Dan Todd Johnston | Anesthesiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-03-06 |
| Street Address |
3117 SHORE DR |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-4293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588176 | Robert Elmer Sonnenburg Jr | Otolaryngology | 3117 Shore Dr, Marinette, WI 54143-4293 | 2005-12-09 |
| 1033513783 | Amanda Polomis | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2014-10-09 |
| 1568870632 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 3117 Shore Dr, 102, Marinette, WI 54143-4293 | 2014-08-01 |
| 1346660842 | Kari Hoheneder | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2014-04-23 |
| 1801235809 | Andrea Overstreet | Physical Therapy Assistant | 3117 Shore Dr, Suite 101, Marinette, WI 54143 | 2013-06-24 |
| 1770834897 | Bay Area Medical Center | Clinic/Center | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2012-09-28 |
| 1982964904 | Daniel Robert Smith | Chiropractor | 3117 Shore Dr, Marinette, WI 54143-4293 | 2012-05-23 |
| 1619248473 | Bay Area Medical Center, Inc | Podiatrist | 3117 Shore Dr, Marinette, WI 54143-4293 | 2012-01-25 |
| 1538457445 | Bradley James Klumb | Orthopaedic Surgery | 3117 Shore Dr, Marinette, WI 54143-4293 | 2011-07-12 |
| 1043529282 | Bay Area Medica Center | General Acute Care Hospital | 3117 Shore Dr, Suite 101, Marinette, WI 54143-4293 | 2010-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275770539 | Leeann A Schuchart | Specialist/Technologist, Other | 3123 Shore Drive, Marinette, WI 54143 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673611 | Kim Marie Kummrow | Specialist/Technologist, Other | 9000 W Wisconsin Ave Ste 360, Milwaukee, WI 53226-4874 | 2019-08-02 |
| 1740701614 | Gaylene Heaton | Specialist/Technologist, Other | 502 Copper St Ste 5, Hurley, WI 54534-1386 | 2017-06-30 |
| 1801330709 | Ann Nollet | Specialist/Technologist, Other | 2876 E Carlson Rd, Foxboro, WI 54836-9511 | 2016-12-12 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1497150866 | Jonathan Ratzel | Specialist/Technologist, Other | 330 Brookside Dr Unit 1, Mayville, WI 53050-2855 | 2014-10-28 |
| 1033452503 | Allen Limberg | Specialist/Technologist, Other | 1200 Pintail Ln, Wausau, WI 54401-8110 | 2013-04-02 |
| 1932440989 | Superior Surgical Services, LLC | Specialist/Technologist, Other | 3121 Oak Knoll Dr, Apt 4, Eau Claire, WI 54701-6400 | 2013-03-14 |
| 1457618472 | Andreas Konrad Haase | Specialist/Technologist, Other | 3705 County Road H Apt 5, Franksville, WI 53126-9332 | 2012-04-15 |
| 1710265913 | Katherine Marie Holsclaw | Specialist/Technologist, Other | 18200 W Capitol Dr, Brookfield, WI 53045-1445 | 2011-07-22 |
| 1235432931 | Vickie L Kutzler | Specialist/Technologist, Other | 10400 75 Th Street, Kenosha, WI 53142-7884 | 2010-12-19 |
| Find all providers with the same taxonomy | ||||
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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.