JACOB JOHNSON (NPI# 1689055154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689055154 |
| Entity Type | Individual |
| Full Name | JACOB JOHNSON |
| Credential | D.O. |
| Practice Address |
2661 County Highway I Chippewa Falls WI 54729-5407 |
| Mailing Address |
7090 Stevensville Baroda Rd Stevensville MI 49127-9782 |
| Practice Telephone | 7157231811 |
| Mailing Telephone | 7154972112 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101022137 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1234 Napier Avenue, Lakeland Health-gme, Saint Joseph, MI 49085 | 2699824941 | |
| 900 W Clairemont Ave, Eau Claire, WI 547016122 | 7157174121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1952945354 | Jacob Johnson | Specialist | 3501 Forbes Ave Ste 932, Pittsburgh, PA 15213-3317 | 2019-10-30 |
| 1912568320 | Jacob Johnson | Specialist/Technologist | 116 Elmwood St, Dearborn, MI 48124-1424 | 2019-06-26 |
| 1952811861 | Jacob Johnson | Specialist/Technologist | 33610 Washington St Ne, Cambridge, MN 55008-9153 | 2017-10-05 |
| 1982120895 | Jacob Lynn Johnson | Dentist | Bldg 1200, 149g W Hart St, Sheppard Afb, TX 76311-7631 | 2017-08-22 |
| 1083158554 | Jacob Johnson | Nurse Anesthetist, Certified Registered | 7105 Davis Grey Dr, Asheville, NC 28803-0208 | 2016-12-18 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1962760124 | Jacob Daniel Johnson | Surgery | 15411 Park Village Blvd, Taylor, MI 48180-4886 | 2012-04-25 |
| 1457300477 | Jacob Johnson | Otolaryngology | 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 | 2006-05-08 |
| Street Address |
2661 COUNTY HIGHWAY I |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429908 | St Josephs Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2005-07-07 |
| 1205301850 | Anesthesia Management Solutions of Wisconsin LLC | Nurse Anesthetist, Certified Registered | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2018-10-10 |
| 1134619034 | Jordan Kolb | Counselor | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2018-05-16 |
| 1790210748 | Nadene Edland | Physical Therapist | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2017-04-27 |
| 1578011854 | Gregory Kordell | Dietitian, Registered | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2016-09-15 |
| 1689030629 | Timothy Volbrecht | Counselor | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2016-01-06 |
| 1053792895 | Ethan James Young | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2015-06-17 |
| 1912316175 | St Joseph's Hospital-hospital Sisters-3rd Order of St Francis | Clinic/Center | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2014-08-12 |
| 1356755805 | Pamela Kraus | Counselor | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2014-06-12 |
| 1144665175 | Kristen Lee Seidler | Counselor | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043302 | Vallie M Kaprelian | Emergency Medicine | 14633 48th Ave, Chippewa Falls, WI 54729-7153 | 2006-02-17 |
| 1053792895 | Ethan James Young | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2015-06-17 |
| 1780871780 | James Peng | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2007-10-03 |
| 1326058470 | Kristin E Verville | Emergency Medicine | 2661 County Highway I, St Josephs Hospital, Chippewa Falls, WI 54729 | 2006-08-09 |
| 1497732085 | Michael Harold Walton | Emergency Medicine | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
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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.