DR. PETER ROBERT JOHNSON (NPI# 1306953831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306953831 |
| Entity Type | Individual |
| Full Name | DR. PETER ROBERT JOHNSON |
| Credential | MD |
| Practice Address |
2845 Greenbrier Rd Ste 240 Green Bay WI 54311-6519 |
| Mailing Address |
164 N Broadway Green Bay WI 54303-2728 |
| Practice Telephone | 9202888280 |
| Practice Fax Number | 9202888285 |
| Mailing Telephone | 9209654055 |
| Mailing Fax Number | 9204055388 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 10164 | NV | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 37618 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073982187 | Peter Julian Johnson | Massage Therapist | 1928 Friendly Aly, Eugene, OR 97405-2110 | 2015-09-18 |
| 1942454012 | Peter Roy Johnson | Speech-Language Pathologist | 4650 Bay Blvd Apt 1021, Port Richey, FL 34668-6139 | 2008-11-15 |
| 1710148176 | Peter Arnold Johnson | Psychiatry & Neurology | 719 Sawdust Rd Ste 207, The Woodlands, TX 77380-2970 | 2008-06-18 |
| 1316146442 | Peter Eric Johnson | Plastic Surgery | 8901 West Golf Road, Suite 204, Des Plaines, IL 60016-6850 | 2007-07-18 |
| 1609939966 | Peter L Johnson | Social Worker | 39 Ware St, Somerville, MA 02144-1540 | 2006-12-18 |
| 1366532137 | Peter Graham Johnson | Preventive Medicine | 21862 Al Hwy 59, Suite B, Robertsdale, AL 36567-7007 | 2006-10-13 |
| 1669563029 | Peter Charles Johnson | Specialist | 965 Hawthorne Prk., Suite 100a, Athens, GA 30086 | 2006-09-28 |
| 1306873906 | Peter A Johnson | Specialist | 112 Medical Cir, Winchester, VA 22601-3322 | 2006-06-27 |
| 1922042522 | Peter Johnson | Physician Assistant | 1009 Woodshire Ln, Street, MD 21154-1115 | 2006-06-15 |
| 1740260660 | Peter Carl Johnson | Obstetrics & Gynecology | 2737 Navarre Ave Ste 202, Oregon, OH 43616-3276 | 2006-01-18 |
| Street Address |
2845 GREENBRIER RD STE 240 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435853 | Cynthia L Geocaris | Surgery | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-05-27 |
| 1659978872 | Molly Linzmeier | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-10-01 |
| 1588279756 | Toni M Pullen | Massage Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-09-14 |
| 1700413283 | Michelle Yvonne Degrave | Registered Nurse | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-25 |
| 1588299697 | Amanda Marie Steinfeldt | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-09 |
| 1659906113 | Kelly Jane Delzer | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-03-05 |
| 1750915815 | Jennifer Maronek | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-27 |
| 1538792379 | Sierra R Milosch | Occupational Therapist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2020-02-20 |
| 1205473584 | Mackenzie L Zuleger | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-12-05 |
| 1588214860 | Jessica S Thompson | Nurse Practitioner | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952626905 | Amy Katherine Schueckler | Obstetrics & Gynecology | 301 N Webster Ave, Green Bay, WI 54301-4815 | 2010-04-01 |
| 1508096017 | Anna J Igler | Obstetrics & Gynecology | 2253 W Mason St Ste 300, Green Bay, WI 54303-4706 | 2009-07-17 |
| 1255364667 | Brian Dale Dobbins | Obstetrics & Gynecology | 2890 Lineville Rd, Green Bay, WI 54313-7202 | 2006-07-09 |
| 1083682876 | Cheryl L Bailey | Obstetrics & Gynecology | 720 S Vanburen St, Suite 101, Green Bay, WI 54301-3504 | 2006-03-09 |
| 1134645542 | Bellin Memorial Hospital | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2017-08-17 |
| 1841672516 | Bellin Memorial Hospital Inc | Obstetrics & Gynecology | 704 S Webster Ave, Suite 100 B, Green Bay, WI 54301-3533 | 2015-06-18 |
| 1902210925 | Ryan D Kuefler | Obstetrics & Gynecology | 720 S Vanburen St, Green Bay, WI 54301-3504 | 2014-06-18 |
| 1649407412 | Amy Van Gheem | Obstetrics & Gynecology | 1715 Dousman St, Green Bay, WI 54303-3211 | 2009-06-18 |
| 1407082381 | Sara Helena Tikkanen Swift | Obstetrics & Gynecology | 2845 Greenbrier Rd, Green Bay, WI 54311 | 2009-06-05 |
| 1457518532 | Jory A Ough | Obstetrics & Gynecology | 2641 Development Dr, Green Bay, WI 54311-4240 | 2008-05-17 |
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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.