JOHANNA LOUISE GROSS (NPI# 1750841482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750841482 |
Entity Type | Individual |
Full Name | JOHANNA LOUISE GROSS |
Practice Address |
7901 S 6th St Oak Creek WI 53154-2010 |
Mailing Address |
4963 N 125th St Butler WI 53007-1532 |
Practice Telephone | 4143468000 |
Mailing Telephone | 2623707460 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9156-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 9156-33 | 05 |
Street Address |
7901 S 6TH ST |
City | OAK CREEK |
State | WI |
Zip Code | 53154-2010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922091446 | Jeffrey Mark Baranek | Physician Assistant | 7901 S 6th St, Oak Creek, WI 53154 | 2005-08-30 |
1497395313 | Nicholas Davey | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2020-01-08 |
1194373399 | Froedtert Health Pharmacy LLC | Pharmacy | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-08-30 |
1235696907 | Sara Hasan | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2019-02-28 |
1578035341 | Kimberly Marie Anas | Occupational Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-12-18 |
1245722792 | Melissa Dechiara | Physical Therapist | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2018-05-31 |
1811416639 | Community Memorial Hospital of Menomonee Falls Inc | Pharmacy | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2017-09-13 |
1073932349 | Jessica Lynn Woznick | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-15 |
1790103497 | Tai Tan Nguyen | Family Medicine | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2014-04-01 |
1093073736 | Aaron Staley | Obstetrics & Gynecology | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2012-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
1619512605 | Sharon Boushon | Technician | 642 E Pergola Place, Oak Creek, WI 53154 | 2019-11-13 |
1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
1982127577 | Zainab Saddiq | Optometrist | 8661 S. Howell Ave, 200, Oak Creek, WI 53154 | 2017-07-25 |
1649700980 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 7901 South 6th Street, Oak Creek, WI 53154 | 2017-06-19 |
1770969578 | Suhani Virparia | Pharmacist | 171 W. Town Square Way, Oak Creek, WI 53154 | 2015-08-04 |
1275919144 | Jessica Ford | Social Worker | 8825 South Howell Avenue, Suite 305, Oak Creek, WISCONSIN 53154 | 2015-08-03 |
1700269388 | Tarnit Singh Kapoor | Dentist | 8421 Howell Ave, Oak Creek, WI 53154 | 2015-07-01 |
1447656350 | Kiersten Kirking | Physical Therapist | 210 W. Raindbow Ridge Dr., 1207, Oak Creek, WI 53154 | 2014-11-05 |
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Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518511070 | Nichole Giuli | Nurse Practitioner | 8510 S Parknoll Dr, Oak Creek, WI 53154-3436 | 2019-08-01 |
1255991386 | Jodi Kruszka | Nurse Practitioner | 825 E Manitowoc Avenue, Oak Creek, WI 53154 | 2019-06-20 |
1255688339 | Tamara Perryman | Nurse Practitioner | 1240 W Riverside Dr, Oak Creek, WI 53154-3755 | 2012-08-08 |
1497395313 | Nicholas Davey | Nurse Practitioner | 7901 S 6th St, Oak Creek, WI 53154-2010 | 2020-01-08 |
1053782508 | Katie Leiteritz | Nurse Practitioner | 8020 S Howell Ave, Oak Creek, WI 53154-2930 | 2015-10-09 |
1750702932 | Lynelle Jean Fischer | Nurse Practitioner | 8375 S Howell Ave, Oak Creek, WI 53154-8344 | 2013-12-14 |
1750619755 | Linda B Casner | Nurse Practitioner | 300 Main St., Oak Creek, CO 80467 | 2009-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
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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.