DR. ANDREW JOHANSEN (NPI# 1518529437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518529437 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JOHANSEN |
| Credential | DC |
| Practice Address |
5332 Spring St Mount Pleasant WI 53406-2910 |
| Practice Telephone | 2626336325 |
| Practice Fax Number | 2626336326 |
| Mailing Telephone | 2626336325 |
| Mailing Fax Number | 2626336326 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5463-12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255774014 | Andrew Johansen | Radiology | 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 | 2013-04-11 |
| Street Address |
5332 SPRING ST |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942460357 | Mt. Pleasant Chiropractic & Rehab LLC | Chiropractor | 5332 Spring St, Mount Pleasant, WI 53406-2910 | 2008-06-10 |
| 1861542284 | Brian J Trautman | Chiropractor | 5332 Spring St, Mount Pleasant, WI 53406-2910 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610462 | Vital Family Chiropractic LLC | Chiropractor | 1039 Johnnie Dodds Blvd # 7, Mount Pleasant, SC 29464-6155 | 2020-02-11 |
| 1285278010 | Chiro One Wellness Center of Mount Pleasant LLC | Chiropractor | 7115 Durand Ave, Mount Pleasant, WI 53177-1973 | 2019-11-05 |
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1275096398 | Alexia Kay Mcclure | Chiropractor | 1220 Ben Sawyer Blvd Ste M, Mount Pleasant, SC 29464-4581 | 2019-04-08 |
| 1275039489 | Shea Levitan | Chiropractor | 1321 Chuck Dawley Blvd Ste 104, Mount Pleasant, SC 29464-7304 | 2018-04-05 |
| 1093229817 | Tera Pfarr | Chiropractor | 4401 Taylor Ave Ste 103, Mount Pleasant, WI 53405-4679 | 2017-12-01 |
| 1730543000 | Cynthia Bugher | Chiropractor | 1051 Johnnie Dodds Blvd Ste D, Mount Pleasant, SC 29464-3100 | 2016-04-12 |
| 1992168926 | Nicholas Tyger | Chiropractor | 280 Crossroads Plaza, Mount Pleasant, PA 15666-9128 | 2016-03-29 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1861896847 | Rak Specific Chiropractic Clinic | Chiropractor | 1303 Ben Sawyer Blvd Ste 7, Mount Pleasant, SC 29464-4589 | 2014-10-20 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.