JOHANNA LOUISE GROSS


Address: 7901 S 6th St, Oak Creek, WI 53154-2010
Phone: 4143468000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 9156-33 05

Office Location

Street Address 7901 S 6TH ST
City OAK CREEK
State WI
Zip Code 53154-2010

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City OAK CREEK
Zip Code 53154

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Dataset Information

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.

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