JAMES HERSCHEL JOHNSON (NPI# 1386141927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386141927 |
| Entity Type | Individual |
| Full Name | JAMES HERSCHEL JOHNSON |
| Credential | MD |
| Practice Address |
333 Pine Ridge Blvd Wausau WI 54401-4120 |
| Mailing Address |
2116 Creswell St Waycross GA 31503-7746 |
| Practice Telephone | 7158472121 |
| Mailing Telephone | 9122780127 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52171 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DIRECT CARE | 52171 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652769 | James Johnson | Student in an Organized Health Care Education/Training Program | 30856 Molly B Rd, Lewes, DE 19958-3855 | 2020-09-02 |
| 1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
| 1912422767 | James Daniel Johnson | Speech-Language Pathologist | 2201 N 50th St, Fort Smith, AR 72904-5719 | 2017-08-12 |
| 1184146557 | James William Johnson | Licensed Practical Nurse | 25 Beekman Dr, Carmel, NY 10512 | 2017-07-07 |
| 1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1518301092 | James Johnson | Counselor | 2816 Nw 27th St, Oklahoma City, OK 73107-2107 | 2013-04-26 |
| 1548513807 | James Allen Johnson Jr. | Counselor | 10604 E 38th St, Yuma, AZ 85365-6886 | 2012-10-23 |
| 1891045043 | James Allen Johnson | Pediatrics | 4350 Wendell Ln, Eugene, OR 97405-7038 | 2012-09-14 |
| 1588919161 | James Clifford Johnson | Dentist | 706 W Wellington Ave, Apt. #2, Chicago, IL 60657-5352 | 2012-07-19 |
| Street Address |
333 PINE RIDGE BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363986 | Aspirus Wausau Hospital, Inc | General Acute Care Hospital | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2005-08-15 |
| 1902415789 | John Hupp II | Registered Nurse | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-07-28 |
| 1720600240 | Jennifer Scharenbrock | Physical Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2020-05-07 |
| 1467009282 | Anson Mcquigg | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-26 |
| 1447807086 | Kelly Jonathon Douck | Nurse Anesthetist, Certified Registered | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-08-19 |
| 1699329102 | Madeline Erickson | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-08-01 |
| 1194384198 | Emily Morgan Meyer | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-06-12 |
| 1659937738 | Breanna Zajichek | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2019-05-14 |
| 1336703677 | Sophia Frances Andera-cato | Physician Assistant | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2019-04-23 |
| 1073096681 | Beth Brinkman | Occupational Therapist | 333 Pine Ridge Blvd, Wausau, WI 54401-4102 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396196150 | Amanda Schoenfuss | Family Medicine | 2720 Plaza Dr Ste 1300, Wausau, WI 54401-4165 | 2016-06-23 |
| 1093974305 | Kenechi E Anuligo | Family Medicine | 408 3rd Street, Suite 306, Wausau, WI 54403-3404 | 2008-06-03 |
| 1235398561 | Margo J Quinn | Family Medicine | 4149 Boulder Rdg, Wausau, WI 54401-8360 | 2008-06-02 |
| 1356486369 | Wausau Aviation Medicine Services | Family Medicine | 915 Woods Place, Wausau, WI 54403-7074 | 2007-02-20 |
| 1003989724 | Jonathan Joseph Cotter | Family Medicine | 3110 Glendale Ave, Wausau, WI 54401-4050 | 2006-11-17 |
| 1205946456 | Kay A Gruling | Family Medicine | 620 County Road O, Wausau, WI 54401-9091 | 2006-08-30 |
| 1366474850 | Claire H Reed | Family Medicine | 1810 2nd St, Wausau, WI 54403-3492 | 2006-07-07 |
| 1710924329 | Ryan A Gossett | Family Medicine | 1810 N 2nd St, Wausau, WI 54403-3492 | 2006-06-01 |
| 1518920578 | Michael A Umland | Family Medicine | 212 Sturgeon Eddy Rd, Wausau, WI 54403-6672 | 2006-04-10 |
| 1689193211 | Aroba Sadaf | Family Medicine | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2017-09-14 |
| Find all providers in WAUSAU | ||||
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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.