GILBERT H JOHNSON (NPI# 1356303358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356303358 |
| Entity Type | Individual |
| Full Name | GILBERT H JOHNSON |
| Credential | PA |
| Practice Address |
1304 Lake Rd Altoona WI 54720-1849 |
| Practice Telephone | 7158320992 |
| Mailing Telephone | 7158320992 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
218-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42946000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417324575 | Gilbert Johnson | Custodial Care Facility | 15800 Fairmount Dr, Detroit, MI 48205-1448 | 2015-08-25 |
| Street Address |
1304 LAKE RD |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| 1346200995 | Stephen F Pyo | Physician Assistant | 1505 9th Ave, Altoona, PA 16602-2416 | 2006-03-27 |
| 1841801651 | Kristin Mathiowetz | Physician Assistant | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2020-08-14 |
| 1700432358 | Rebecca Gorba | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-08-09 |
| 1003474198 | Sean Allen Yeckley | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-06-03 |
| 1669986246 | Kaylee Kowalczyk | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2017-11-19 |
| 1528300241 | Vanessa R Colquhoun | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2013-03-20 |
| 1700140753 | David S Claar | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2012-06-25 |
| 1942598842 | Anthony C Damin | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2011-07-13 |
| 1508996828 | Elizabeth Anne Heverly | Physician Assistant | 501 Howard Ave Ste F3, Altoona, PA 16601-4818 | 2007-03-06 |
| Find all providers in ALTOONA | ||||
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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.