Rebecca L Stark-johnson (NPI# 1912018342, PAC ID# 9032183868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1912018342 |
| PAC ID by PECOS | 9032183868 |
| Professional Enrollment ID | I20040825001497 |
| Full Name | Rebecca L Stark-johnson |
| Organization Legal Name | FORT HEALTHCARE INC |
| Address |
611 Sherman Ave E Fort Atkinson WI 53538-1960 |
| Phone Number | 9205685000 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1984 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0840189718 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520071 | FORT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 9205685000 | FORT HEALTHCARE INC |
| Organization Legal Name | FORT HEALTHCARE INC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron J. Beck | Family Medicine | Fort Healthcare Inc | 1504 Madison Ave, Fort Atkinson, WI 53538-3100 |
| Megan E Albertson | Diagnostic Radiology | Fort Healthcare Inc | 611 E Sherman Ave, Fort Atkinson, WI 53538-1960 |
| Fawn L Bingham | Nurse Practitioner | Fort Healthcare Inc | 1461 W Main St, Whitewater, WI 53190-1568 |
| Rachel F Lee | Nurse Practitioner | Fort Healthcare Inc | 840 W Racine St, Jefferson, WI 53549-1053 |
| Elizabeth H Lynk | Obstetrics/gynecology | Fort Healthcare Inc | 650 Mcmillen St, Fort Atkinson, WI 53538-1275 |
| Kristin M Schultz | Nurse Practitioner | Fort Healthcare Inc | 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 |
| Brent Paul Yaeggi | Podiatry | Fort Healthcare Inc | 400 Doctors Ct, Johnson Creek, WI 53038-9567 |
| Cheryl J Roets | Psychologist, Clinical | Fort Healthcare Inc | 1520 Madison Ave, Fort Atkinson, WI 53538-3100 |
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Street Address |
611 SHERMAN AVE E |
| City | FORT ATKINSON |
| State | WI |
| Zip | 53538-1960 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Steckelmann | Physician Assistant | Madison Emergency Physicians Sc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Robert P Sievert | Emergency Medicine | Madison Emergency Physicians Sc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Jamie L Foltz | Certified Registered Nurse Anesthetist (crna) | Fort Healthcare Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Stefan J Gieryn | Certified Registered Nurse Anesthetist (crna) | Fort Healthcare Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Rick J Woodward | Physician Assistant | Madison Emergency Physicians Sc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Dawn M Ruecker | Certified Registered Nurse Anesthetist (crna) | Fort Healthcare Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Benjamin David Sawatzky | Diagnostic Radiology | Fort Healthcare Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Ruchika Sharma | Hematology/oncology | Fort Healthcare Inc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Alisha F Maly | Physician Assistant | Madison Emergency Physicians Sc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Kelly A Carter | Emergency Medicine | Madison Emergency Physicians Sc | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Stanley J Fudala | Psychiatry | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| William J Cannon | Internal Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Carolyn A Haerr | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Billie G Kontny | General Surgery | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| John A Jerisha | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Deborah L Roe | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Kathleen M Baus | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in zip 53538 | |||
| City | FORT ATKINSON |
| Zip Code | 53538 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FORT ATKINSON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Rebecca L Stark-johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.