MRS. COURTNEY JOHNSON


Address: 1703 N Taylor Dr, Sheboygan, WI 53081-1933
Phone: 9204574438

MRS. COURTNEY JOHNSON (NPI# 1912426073) 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) 1912426073
Entity Type Individual
Full Name MRS. COURTNEY JOHNSON
Other Name MISS COURTNEY WIEDENHOEFT
Credential PA-C
Practice Address 1703 N Taylor Dr
Sheboygan
WI 53081-1933
Mailing Address 303 Thomas Dr
Port Washington
WI 53074-1070
Practice Telephone 9204574438
Enumeration Date 2017-09-10
Last Update Date 2017-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
4185-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Providers COURTNEY JOHNSON

NPI Name Taxonomy Address Enumeration
1124627468 Courtney Johnson Registered Nurse 905 Mcgarigle Rd, Sedro Woolley, WA 98284-1296 2020-10-19
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1760947337 Courtney Johnson Licensed Vocational Nurse 4595 State Highway 87 N, Center, TX 75935-6795 2019-02-07
1427556992 Courtney Johnson Counselor 706 W Ben White Blvd Bldg B170, Austin, TX 78704-8124 2018-01-30
1063806362 Courtney Johnson Licensed Practical Nurse 46 Hollyhock Ct, Fairfield, OH 45014-3118 2015-03-25
1023414562 Courtney Johnson Social Worker 3300 Sage Rd Apt 3111, Houston, TX 77056-7062 2014-11-11
1275973257 Courtney Beth Johnson Clinical Neuropsychologist 2680 E Main St Ste 114, Plainfield, IN 46168-2827 2013-07-05
1629412077 Courtney Willoughby Johnson Pediatrics 10903 New Hampshire Ave Bldg 71, Silver Spring, MD 20993-4509 2013-04-28
1679824551 Courtney Kate Johnson Nurse Practitioner 1900 11th Ave Ste A, Columbus, GA 31901-1868 2012-10-02
1245580794 Courtney Johnson Pharmacist 7000 W. 75th Street, Overland Park, KS 66204 2012-09-12

Office Location

Street Address 1703 N TAYLOR DR
City SHEBOYGAN
State WI
Zip Code 53081-1933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134185945 Scott M Stillwell Family Medicine 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2006-04-21
1760949796 Noah T Slife Physician Assistant 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2019-02-26
1801371505 Kaley Dorion Meicher Physician Assistant 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2018-09-27
1750745162 Xia Vang Family Medicine 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2016-04-12
1518307248 Mitchell Dennis Hulbert Podiatrist 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2013-06-26
1407198716 Katelin A Krystowiak Family Medicine 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2013-03-25
1306199435 Kate M Ratajczak Nurse Practitioner 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2012-10-26
1760670772 Melissa M Krause Physician Assistant 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2007-10-04
1023217528 Eric D Boehmer Family Medicine 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2007-07-13
1477608529 Carmen Ruiz Nurse Practitioner 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2007-01-25
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821582016 Lauren Sheafer Physician Assistant 1411 N Taylor Dr, Sheboygan, WI 53081-3043 2018-06-20
1063567105 Mary Fitzgerald Lovelien Physician Assistant 1703 N Taylor Dr, Sheboygan, WI 53081-1933 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093348542 Christopher Sean Lanctin Physician Assistant 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 2020-02-12
1750936068 Javier Eugenio Font Physician Assistant 813 N Clover Ln, Cottage Grove, WI 53527-9433 2019-08-04
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1588225544 Hannah Elizabeth Krum Physician Assistant S80w17784 Brennan Dr, Muskego, WI 53150-8828 2019-06-21
1255825162 Katelyn Marie Frankwick Physician Assistant 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 2018-06-15
1831644228 Megan E Nelson Physician Assistant 221 E Mills Dr, Lake Mills, WI 53551-1910 2016-08-16
1356717904 Amy Hermus Physician Assistant 451 Butternut Dr, Oregon, WI 53575-1349 2015-08-18
1497168066 Alexander J Hill Physician Assistant 1111 North Road, Mauston, WI 53948-0700 2014-06-11
1487083242 Andrew John Miller Physician Assistant 1521 Lakeview Ave, Wausau, WI 54401-6168 2013-11-02
1386944502 Bethany Rose Yard Physician Assistant 18601 Lincoln Street, Whitehall, WI 54773 2010-10-22
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Competitor

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City SHEBOYGAN
Zip Code 53081

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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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