DR. TAD MARK JOHNSON (NPI# 1659339919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659339919 |
| Entity Type | Individual |
| Full Name | DR. TAD MARK JOHNSON |
| Credential | MD |
| Practice Address |
3524 E Milwaukee St Janesville WI 53546-1626 |
| Practice Telephone | 6087567100 |
| Practice Fax Number | 6087564700 |
| Mailing Telephone | 6087567100 |
| Mailing Fax Number | 6087564700 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
25307 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MERCYCARE INSURANCE | JOHNSTAD | 01 |
| WI | BCBSWI | 1659339919 | 01 |
| WI | 30661900 | 05 | |
| WI | 1659339919 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730196981 | Tad Terrence Johnson | Dentist | 1845 W 4400 S, Suite 3b, Roy, UT 84067 | 2006-08-01 |
| Street Address |
3524 E MILWAUKEE ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085083 | Craig Michelsen | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2005-12-29 |
| 1396223095 | Jaime Elizabeth Pechacek | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546 | 2018-08-03 |
| 1295259513 | Mary Augustian | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2017-07-28 |
| 1720442809 | Kristine K. Arndt | Internal Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2016-04-05 |
| 1992172860 | Ryne R Bean | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2015-08-27 |
| 1770928160 | Eric M. Schulz | Physician Assistant | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-04-30 |
| 1699017178 | Elizabeth Marie Loconto | Pediatrics | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2013-03-21 |
| 1750637021 | Alethea L Poste | Family Medicine | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-24 |
| 1477808772 | Kari Martin | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-07-23 |
| 1598028144 | Rebecca L. Custer | Physical Therapist | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700996576 | Philip M Marden Md Sc | Allergy & Immunology | 340 Summit Avenue, Oconomowoc, WI 53066-3747 | 2006-08-30 |
| 1528077971 | Amelia R Rojas | Allergy & Immunology | 1905 E Huebbe Parkway, Beloit Health System Inc, Beloit, WI 35311-1842 | 2006-08-05 |
| 1235175589 | Steven L Kagen | Allergy & Immunology | 100 W Lawrence St, Appleton, WI 54911-5773 | 2006-06-22 |
| 1124079033 | David A Edmondson | Allergy & Immunology | 512 S 28th Ave, Wausau, WI 54401-4147 | 2006-05-15 |
| 1194786350 | Allergy Associates of La Crosse, Ltd. | Allergy & Immunology | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2006-03-29 |
| 1992766067 | Pedro N Banda | Allergy & Immunology | 6030 W Capitol Dr, Milwaukee, WI 53216-2118 | 2006-03-29 |
| 1093708356 | Eun Young Kim | Allergy & Immunology | 296 Ohio St, Oshkosh, WI 54902-5825 | 2005-08-23 |
| 1538526785 | S&a Ringwala, S.c. | Allergy & Immunology | 4906 39th Ave, Kenosha, WI 53144-2108 | 2016-01-19 |
| 1295980019 | Waukesha Environmental Health | Allergy & Immunology | 403 N Grand Ave, Waukesha, WI 53186-4913 | 2008-11-20 |
| 1376707307 | Mark J Biagtan | Allergy & Immunology | 20 S Park St, Madison, WI 53715 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.