MRS. KHALYNE THERYSE JOHNSON (NPI# 1720341274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720341274 |
| Entity Type | Individual |
| Full Name | MRS. KHALYNE THERYSE JOHNSON |
| Credential | M.D. |
| Practice Address |
1813 Ashland Ave Sheboygan WI 53081-6125 |
| Practice Telephone | 9204584010 |
| Mailing Telephone | 9204584010 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 61556-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1813 ASHLAND AVE |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880716 | Linden J Engelsma | Physician Assistant | 1813 Ashland Ave, Sheboygan, WI 53081 | 2006-08-20 |
| 1396305330 | Kurtis J Sustachek | Physical Therapist | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2019-06-20 |
| 1902224116 | Brandon Phelps | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2014-04-03 |
| 1215373147 | Jacob Tait Demaster | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2013-05-19 |
| 1578803896 | Samuel Z Simons | Physical Therapist | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2013-02-22 |
| 1407058779 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1813 Ashland Ave, Sheboygan, WI 53081 | 2007-05-31 |
| 1730399486 | Kari Marie Stauffer Vrzal | Family Medicine | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2007-05-23 |
| 1396852919 | Kristine L Howley | Social Worker | 1813 Ashland Ave, Sheboygan, WI 53081-6125 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1699932749 | Ronald Stanley Lizik | Family Medicine | N6249 N 61st St, Sheboygan, WI 53083-3356 | 2008-05-16 |
| 1134185945 | Scott M Stillwell | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2006-04-21 |
| 1174589998 | Patrick R Marsho | Family Medicine | 1703 N Taylor Drive, Sheboygan, WI 53081-1933 | 2006-04-21 |
| 1356863047 | Shehla Baig | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2017-07-13 |
| 1831622513 | Paj Ntaub Vang | Family Medicine | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2017-04-10 |
| 1134579493 | Bora You | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2016-06-17 |
| 1750745162 | Xia Vang | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2016-04-12 |
| 1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
| 1073920807 | Natasha Verma | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-07-14 |
| 1124434477 | Tae Ho Choi | Family Medicine | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2014-07-08 |
| Find all providers in SHEBOYGAN | ||||
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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.