SUSAN KEES JOHNSON (NPI# 1467410902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467410902 |
| Entity Type | Individual |
| Full Name | SUSAN KEES JOHNSON |
| Credential | PA-C |
| Practice Address |
251 E Cottage Grove Rd Cottage Grove WI 53527-9619 |
| Practice Telephone | 6088393515 |
| Mailing Telephone | 6088393515 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 707-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
707-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 7217 | 01 |
| Street Address |
251 E COTTAGE GROVE RD |
| City | COTTAGE GROVE |
| State | WI |
| Zip Code | 53527-9619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962747691 | Lisa Bers Taub | Physical Therapist | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2012-12-06 |
| 1275845497 | Bryan J Webster | Family Medicine | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2010-07-02 |
| 1154586717 | Kathleen Anne Knipfer | Physician Assistant | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2008-07-23 |
| 1831139039 | Dorothy Jill Mallory | Family Medicine | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2006-06-07 |
| 1891735841 | Leila R Midelfort | Family Medicine | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2006-06-07 |
| 1861442931 | Steven P Siewert | Family Medicine | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2006-05-11 |
| 1225087893 | Lynda A Siewert | Family Medicine | 251 E Cottage Grove Rd, Cottage Grove, WI 53527-9619 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922322619 | Sheryl Spitzer -resnick Md, LLC | Family Medicine | 251 East Cottage Grove Road, Cottage Grove, WI 53527 | 2010-03-24 |
| 1750429254 | Patricia Anne Gillette | Counselor | 310 North Midvale Blvd, Suite 202, Madison, WI 53527 | 2007-02-05 |
| 1548363104 | Erik C Toijala | Chiropractor | 536 Southing Grange Rd, Unite A, Cottage Grove, WI 53527 | 2006-09-07 |
| 1295785079 | Shared Medical Services, Inc. | Clinic/Center | 209 Limestone Pass, Cottage Grove, WI 53527 | 2006-05-11 |
| 1467411504 | Jeffrey A Fischer | Physician Assistant | 500 Westlawn Dr, Cottage Grove, WI 53527 | 2006-03-18 |
| 1114297306 | Margaret Ann Hojem | Physical Therapist | 716 Weald Bridge Rd, Cottage Grove, WI 53527-8202 | 2012-01-05 |
| 1255691580 | Erin-kirsti Colstad | Registered Nurse | 203 S Main St, #1, Cottage Grove, WI 53527-8301 | 2012-05-21 |
| 1356392625 | Deer-grove Ems District | Ambulance | 4030 County Rd N, Cottage Grove, WI 53527-8305 | 2006-05-12 |
| 1760004030 | Deborah Ellen Uschan | Registered Nurse | 704 Weald Bridge Rd, Cottage Grove, WI 53527-8306 | 2020-05-10 |
| 1336679083 | Cj Karas Dds of Cottage Grove | Clinic/Center | 2848 Cottage Grove Rd, Cottage Grove, WI 53527-8862 | 2017-06-15 |
| Find all providers in zip 53527 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1538538327 | Brandy Bump Zerby | Physician Assistant | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-09-22 |
| 1982952909 | Ekaterina Peterson | Physician Assistant | 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005 | 2012-08-23 |
| 1720152465 | Ben Douglas Johnson | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-11-17 |
| 1467411504 | Jeffrey A Fischer | Physician Assistant | 500 Westlawn Dr, Cottage Grove, WI 53527 | 2006-03-18 |
| 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 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 1336452440 | Katrina Nguyen Joski | Physician Assistant | 5040 W Ashland Way, Franklin, WI 53132-8177 | 2010-07-17 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 53527 |
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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.