NORTHLAND NEUROLOGY S.C. (NPI# 1912034026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912034026 |
Entity Type | Organization |
Organization Name | NORTHLAND NEUROLOGY S.C. |
Practice Address |
214 Elkhorn Rd Williams Bay WI 53191-9514 |
Mailing Address |
Po Box 358 Williams Bay WI 53191-0358 |
Practice Telephone | 2622452600 |
Practice Fax Number | 2622456600 |
Mailing Telephone | 2622452600 |
Mailing Fax Number | 2622456600 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2008-01-07 |
Authorized Official Name | DR. CRAIG J. JOHNSON (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2622452600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
29092 | WI | Allopathic & Osteopathic Physicians |
Street Address |
214 ELKHORN RD |
City | WILLIAMS BAY |
State | WI |
Zip Code | 53191-9514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184751349 | Craig Joel Johnson | Psychiatry & Neurology | 214 Elkhorn Rd, Williams Bay, WI 53191-9514 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528136983 | Peter Bruce Arnold | Dentist | 91 West Geneva St., Suite 1, Williams Bay, WI 53191 | 2006-12-01 |
1699109785 | Tammy Lynn Wright | Registered Nurse | 24 Collie Street, Williams Bay, WI 53191-0135 | 2013-08-26 |
1184777013 | Julia M. Deller | Social Worker | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2007-01-22 |
1801251533 | Katherine L Catuara | Psychologist | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2015-12-23 |
1255664322 | Christine A Hanson | Psychologist | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2009-09-08 |
1770729592 | Sarah L Splinter | Social Worker | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2008-12-29 |
1184807141 | John Larry Jansky | Psychologist | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2007-12-13 |
1043364383 | Julie A Beyers | Psychologist | N2846 State Road 67, Williams Bay, WI 53191-3771 | 2007-01-23 |
1295144376 | Kyle Murison | Physical Therapist | 230 N Walworth Ave, Unit 4, Williams Bay, WI 53191-9201 | 2014-08-04 |
1841686110 | Murison Sports Medicine and Rehabilitation, LLC | Clinic/Center | 230 N Walworth Ave, Unit 4, Williams Bay, WI 53191-9201 | 2015-04-13 |
Find all providers in zip 53191 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184751349 | Craig Joel Johnson | Psychiatry & Neurology | 214 Elkhorn Rd, Williams Bay, WI 53191-9514 | 2007-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
1235630625 | The Cervical Spine Institute and Neuromonitoring, LLC | Psychiatry & Neurology | 2221 S Webster Ave # 268, Green Bay, WI 54301-2158 | 2018-02-22 |
1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1184011975 | Abdulrahim Ismail | Psychiatry & Neurology | 3003 University Dr Ste 203, Marinette, WI 54143-4110 | 2015-04-20 |
1033505821 | Heydi Flores Podadera | Psychiatry & Neurology | 721 N Midvale Blvd, Madison, WI 53705-3233 | 2015-04-08 |
1104221092 | Sharon Anne Bremer | Psychiatry & Neurology | 423 Landimore Ln, Wales, WI 53183-9552 | 2014-11-04 |
1891120093 | Robert T Schmidt Jr. | Psychiatry & Neurology | 2460 Old Plank Rd, De Pere, WI 54115-8658 | 2013-09-06 |
1356656771 | Klasinski Neurocare, Sc | Psychiatry & Neurology | 500 Vincent St Ste B, Stevens Point, WI 54481-1842 | 2010-08-10 |
1497931661 | Audrey Jantzen | Psychiatry & Neurology | 1685 Highland Ave, Department of Neurology - Centennial Building, Madison, WI 53705-2281 | 2008-01-17 |
Find all providers with the same taxonomy |
City | WILLIAMS BAY |
Zip Code | 53191 |
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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.