DR. SAMANTHA K JOHNSON (NPI# 1124548201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124548201 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA K JOHNSON |
| Credential | DC |
| Practice Address |
187 East Main Ellsworth WI 54011 |
| Mailing Address |
Po Box 668 Ellsworth WI 54011-0668 |
| Practice Telephone | 7152734115 |
| Mailing Telephone | 7152734115 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5286-12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| Street Address |
187 EAST MAIN |
| City | ELLSWORTH |
| State | WI |
| Zip Code | 54011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942864186 | Cb Therapy Group, LLC | Social Worker | 187 E Main Street, Ellsworth, WI 54011 | 2019-04-23 |
| 1609047869 | Shopko Stores Operating Co LLC | Pharmacy | 598 Lucas Lane, Ellsworth, WI 54011 | 2008-03-17 |
| 1134301955 | Ellsworth Community School District | Local Education Agency (LEA) | 300 Hillcrest St, Box 1500, Ellsworth, WI 54011 | 2007-12-04 |
| 1730219239 | Krisan Shaw | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2007-03-06 |
| 1770659658 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne Street, Ellsworth, WI 54011 | 2006-11-24 |
| 1629633912 | Village Pharmacy Healthcare Inc | Pharmacy | 157 E Main St, Ellsworth, WI 54011 | 2019-05-02 |
| 1396162020 | Shaw Family Dental Sc | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2014-03-19 |
| 1093085680 | Amy Alissa Kohls | Occupational Therapy Assistant | 403 N Maple St, Ellsworth Care Center, Ellsworth, WI 54011 | 2012-01-12 |
| 1659557510 | Ellsworth Chiropractic Inc | Chiropractor | 187 E Main St, Ellsworth, WI 54011 | 2008-01-10 |
| 1043434327 | Kayla Marie Buck | Counselor | 412 West Kinne Street, Ellsworth, WI 54011 | 2007-04-11 |
| Find all providers in zip 54011 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1023181484 | Ronald Scott Nyeggen | Chiropractor | 105 North Piety Street, Ellsworth, WI 54011-0335 | 2006-11-15 |
| 1578509790 | Gregory Winton Bernard | Chiropractor | 330 West Main Street, Ellsworth, WI 54011-5087 | 2006-06-22 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1295725695 | Alan William Weymouth | Chiropractor | 194 Beechland Rd, Ellsworth, ME 04605-2536 | 2005-10-26 |
| 1417944430 | Jeffrey Scott Torkelson | Chiropractor | 226 N Douglas Ave, Ellsworth, KS 67439-3208 | 2005-10-04 |
| 1992701056 | Kyle Timothy Kollbaum | Chiropractor | 430 N Maple St, Ste 200, Ellsworth, WI 54011-9029 | 2005-06-23 |
| 1386117935 | Richard White | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2019-01-07 |
| 1710456173 | Kyle J Cress | Chiropractor | 330 W Main St, Ellsworth, WI 54011-5087 | 2018-11-15 |
| 1922540301 | Active Chiropractic and Wellness | Chiropractor | 150 Bucksport Rd, Ellsworth, ME 04605-2224 | 2016-11-16 |
| Find all providers in ELLSWORTH | ||||
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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.