DR. GREGORY A JOHNSON (NPI# 1578529863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578529863 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A JOHNSON |
| Credential | MD |
| Practice Address |
305 East 12th Street Kaukauna WI 54130 |
| Practice Telephone | 9207664656 |
| Practice Fax Number | 9207664659 |
| Mailing Telephone | 9207664656 |
| Mailing Fax Number | 9207664659 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28536 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0028536 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31483400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080505 | Gregory L Johnson | Student in an Organized Health Care Education/Training Program | W165n10212 Wagon Trl, Germantown, WI 53022-4747 | 2020-07-07 |
| 1780213405 | Gregory Johnson | Student in an Organized Health Care Education/Training Program | 534 S Field St, Lakewood, CO 80226-2957 | 2020-04-04 |
| 1912462789 | Gregory Johnson | Technician | 2001 15th St Nw # W1012, Washington, DC 20009-5828 | 2019-02-06 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1770004764 | Gregory Nathan Johnson | Physical Therapist | 200 E Idaho St Ste A, Kalispell, MT 59901-4117 | 2017-06-29 |
| 1497295349 | Gregory Johnson | Behavior Technician | 831 W Woodward Ave, Eustis, FL 32726-4562 | 2017-02-26 |
| 1205202140 | Gregory Kent Johnson | Dentist | 650 E. 25th Street, Umkc School of Dentistry, Kansas City, MO 64108 | 2015-08-14 |
| 1932507571 | Gregory Johnson | Specialist/Technologist | 7925 W Mansfield Pkwy Unit 303, Lakewood, CO 80235-1955 | 2014-12-14 |
| 1093080228 | Gregory Paul Johnson | Physical Therapist | 986 Quail Rdg, Keller, TX 76248-2925 | 2012-03-21 |
| 1588962054 | Gregory Earl Johnson | Counselor | 915 E Main St, Watonga, OK 73772-4626 | 2011-03-08 |
| Street Address |
305 EAST 12TH STREET |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| 1154589448 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2008-05-23 |
| Find all providers in zip 54130 | ||||
| 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 |
|---|---|---|---|---|
| 1316903222 | Joseph C Graunke | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| 1851369144 | Amy S Coulthard-atwater | Family Medicine | 1500 Arbor Way, Kaukauna, WI 54130-7305 | 2006-03-10 |
| 1386600666 | Bruce R Danz | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1447216767 | Timothy P Culligan | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1164488458 | Paul H Russo | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1679539589 | Jennifer L Schoening | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| 1457317273 | Kaukauna Clinic, S.c. | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| 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.