GARY A JOHNSON (NPI# 1457419988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457419988 |
| Entity Type | Individual |
| Full Name | GARY A JOHNSON |
| Credential | M.D. |
| Practice Address |
1024 N Main St Rice Lake WI 54868-1236 |
| Practice Telephone | 7152348151 |
| Practice Fax Number | 7152349750 |
| Mailing Telephone | 7152348151 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46214 | MN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
22411 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA | AJ9059329 | 01 |
| MN | 230014100 | 05 | |
| WI | 31559000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1689146078 | Gary L Johnson | Marriage & Family Therapist | 1200 Cedar Ln, Tullahoma, TN 37388-2255 | 2018-12-22 |
| 1083085369 | Gary Johnson | Assisted Living Facility | 1539 W Avenue L12, Lancaster, CA 93534-6930 | 2015-10-13 |
| 1184063323 | Gary D Johnson | Pharmacist | 1897 E Fall View Dr, Sandy, UT 84093-7058 | 2013-06-20 |
| 1568709798 | Gary Lewis Johnson | Rehabilitation Practitioner | 9322 Dorrell Ln, 9322 Dorrell Lane, Las Vegas, NV 89149-0172 | 2013-01-08 |
| 1184997074 | Gary Wayne Johnson | Physical Therapist | 987 Nohunta Ct, Cincinnati, OH 45231-2518 | 2012-02-23 |
| 1518259811 | Gary A Johnson | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2011-05-05 |
| 1285931923 | Gary David Johnson | Chiropractor | 413 W Morgan St, Duluth, MN 55811-4432 | 2011-02-15 |
| 1306156930 | Gary Anthony Johnson II | Private Vehicle | 1430 Dighton Ct, Virginia Beach, VA 23464-8624 | 2010-10-17 |
| 1417118217 | Gary Michael Johnson II | Audiologist | 7025 E Mcdowell Rd, Suite 1c, Scottsdale, AZ 85257-3328 | 2008-06-24 |
| Street Address |
1024 N MAIN ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632547 | Natasha Eshbaugh | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2005-07-12 |
| 1306904057 | Richard W Swanson | Radiology | 1024 N Main St, Rice Lake, WI 54868-0028 | 2006-12-05 |
| 1326116781 | Diagnostic Radiology Associates of Wisconsin Sc | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2006-12-01 |
| 1134297559 | Thomas Michael Pelant | Radiology | 1024 N Main St, Rice Lake, WI 54868-0028 | 2006-12-01 |
| 1144208273 | Robert D Lefsrud | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962560318 | John A Terrell | Radiology | 1024 North Main Street, Rice Lake, WI 54868-0028 | 2006-12-05 |
| 1285632547 | Natasha Eshbaugh | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2005-07-12 |
| 1164581138 | Steven F Krah | Radiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2006-12-06 |
| 1306904057 | Richard W Swanson | Radiology | 1024 N Main St, Rice Lake, WI 54868-0028 | 2006-12-05 |
| 1326116781 | Diagnostic Radiology Associates of Wisconsin Sc | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2006-12-01 |
| 1134297559 | Thomas Michael Pelant | Radiology | 1024 N Main St, Rice Lake, WI 54868-0028 | 2006-12-01 |
| 1144208273 | Robert D Lefsrud | Radiology | 1024 N Main St, Rice Lake, WI 54868-1236 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
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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.