THERESE ANN JOHNSON (NPI# 1326081316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326081316 |
Entity Type | Individual |
Full Name | THERESE ANN JOHNSON |
Credential | PA-C |
Practice Address |
3267 S 16th Street Ems Office Milwaukee WI 53215 |
Mailing Address |
6053 N Shoreland Ave Whitefish Bay WI 53217-4662 |
Practice Telephone | 4146475203 |
Practice Fax Number | 4146475203 |
Mailing Telephone | 4149620945 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2020-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
674-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | WISCONSIN STATE LICENSE | 674-023 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437706587 | Therese Marie Johnson | Case Manager/Care Coordinator | 12460 Ladd Ln, Auburn, CA 95603-9571 | 2019-08-23 |
1033273404 | Therese Ann Johnson | Counselor | 2955 80th Ave Se Ste 206, Mercer Island, WA 98040-2975 | 2006-12-20 |
1730441726 | Therese Johnson | Case Manager/Care Coordinator | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2012-06-14 |
1841562154 | Therese Lynn Johnson | Registered Nurse | 147 N Brent St, Ventura, CA 93003-2809 | 2012-02-01 |
1881925360 | Therese Johnson | Social Worker | 32 N High St, Bridgton, ME 04009-1125 | 2010-01-22 |
1518052042 | Therese Johnson | Family Medicine | 1711 Gold Drive South Suite 160, Fargo, ND 58103 | 2006-10-03 |
1841230893 | Therese Maszatics Johnson | Family Medicine | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2006-06-07 |
Street Address |
3267 S 16TH STREET EMS OFFICE |
City | MILWAUKEE |
State | WI |
Zip Code | 53215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
Find all providers in zip 53215 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1194956417 | Jessica Dawn Hagen | Physician Assistant | 5330 W. Villard Avenue, Milwaukee, WI 53218 | 2009-08-04 |
1245335868 | Mary Laan | Physician Assistant | 8901 N. 76th Street, Milwaukee, WI 53223 | 2006-09-14 |
1386686905 | Irum Ziauddin | Physician Assistant | 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 | 2006-06-11 |
1528054897 | Nicole Meyer Papermaster | Physician Assistant | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2005-09-22 |
1285232793 | Trina Kessel | Physician Assistant | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-16 |
1124641113 | Emily Rose Johnson | Physician Assistant | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-05-25 |
1487273561 | Savannah Mathe | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-09 |
1396374245 | Kristin Zutavern | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-03 |
Find all providers in MILWAUKEE |
Please comment or provide details below to improve the information on THERESE ANN JOHNSON.
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.