JOHNSON MEDICAL CLINIC


Address: N8434 County Rd S, Algoma, WI 54201-9515
Phone: 9204875635

JOHNSON MEDICAL CLINIC (NPI# 1962623280) 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) 1962623280
Entity Type Organization
Organization Name JOHNSON MEDICAL CLINIC
Practice Address N8434 County Rd S
Algoma
WI 54201-9515
Practice Telephone 9204875635
Mailing Telephone 9204875635
Enumeration Date 2007-05-02
Last Update Date 2009-01-13
Authorized Official Name DR. CARLA A JOHNSON (OWNER AND SOLE PHYSICIAN)
Authorized Official Telephone 9204875635
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI DEA LICENSE BH5013177 01
WI 30094500 05
WI WISCONSIN CORPORATE NUMBE HO35675 01

Office Location

Street Address N8434 COUNTY RD S
City ALGOMA
State WI
Zip Code 54201-9515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740259662 Carla A Johnson Neuromusculoskeletal Medicine & OMM N8434 County Rd S, Algoma, WI 54201-9515 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609905645 Rebecca Havel Prust Dentist 1223 Lake Street, Algoma, WI 54201 2007-03-05
1780734418 Lakeshore Vision Centers, Ltd Clinic/Center 1021 Jefferson St., Algoma, WI 54201 2007-01-12
1306905575 Alan William Haubenschild Dentist 409 5th St, Algoma, WI 54201 2006-12-06
1336128081 Lisa Olson Physician Assistant 1510 Fremont St, Algoma, Algoma, WI 54201 2006-01-11
1477559938 Robert James Anderson Family Medicine 831 Parker St, Algoma, WI 54201-0185 2005-06-21
1841603693 Katie Ann Lukes Registered Nurse 831 Parker St, Algoma, WI 54201-0185 2014-06-10
1124438478 Bellin Psychiatric Center Inc Counselor 831 Parker St, Algoma, WI 54201-0185 2014-05-07
1558372094 City of Algoma Ambulance 400 3rd St, Algoma, WI 54201-1211 2006-08-10
1447291331 Kay K Secrest Chiropractor 316 Steele St, Algoma, WI 54201-1265 2006-06-09
1528106929 Secrest Family Chiropractic LLC Chiropractor 316 Steele St, Algoma, WI 54201-1265 2007-02-01
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427214501 Muzaffar Baig Mirza Family Medicine 2976 Edenberry St, Fitchburg, WI 53711-6950 2008-07-29
1720101447 Robert G Montgomery Family Medicine 8570 S 116th St, Franklin, WI 53132-8803 2007-04-09
1447388350 Robert Earl Kerwin Jr. Family Medicine 333 E. Campus Mall, Madison, WI 53715-1381 2007-03-01
1184768129 Charles E Larson Family Medicine Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 2007-02-15
1154411486 Paul Henry Hunter Family Medicine 841 N Broadway Rm 315, Milwaukee, WI 53202-3613 2006-10-16
1851310411 Steven Ronald Coenen Family Medicine 10 Triparkway, Va Clinic, Appleton, WI 54914 2006-07-18
1285688713 Deborah A Luetzow Family Medicine 2413 W Rawson Ave, Oak Creek, WI 53154-1323 2006-05-20
1548257124 Paul Hankwitz Family Medicine 8520 W Oklahoma Ave, Milwaukee, WI 53227-4604 2005-09-29
1184155194 Richard Edgar Rieselbach Family Medicine 2711 Allen Blvd, Middleton, WI 53562 2017-03-22
1275978983 Numale Medical Center LLC Family Medicine 2600 N Mayfair Rd, Suite 505, Wauwatosa, WI 53226-1309 2013-05-08
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Competitor

Search similar providers

City ALGOMA
Zip Code 54201

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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