Peter R Johnson (NPI# 1306953831, PAC ID# 4587695333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1306953831 |
| PAC ID by PECOS | 4587695333 |
| Professional Enrollment ID | I20050822001221 |
| Full Name | Peter R Johnson |
| Organization Legal Name | BAYCARE AURORA, LLC |
| Address |
1136 Westowne Dr Neenah WI 54956-2175 |
| Phone Number | 9207208200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Group Practice PAC ID | 0244130557 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 1136 Westowne Dr, Neenah, WI 54956-2175 | 9207208200 | BAYCARE AURORA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 70% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 22% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 95% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | BAYCARE AURORA, LLC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne A Hernandez | Physical Therapy | Baycare Aurora, LLC | 3237 Voyager Dr, Green Bay, WI 54311-8349 |
| Amritha C Karkera | Hematology/oncology | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| William T Witmer | Cardiovascular Disease (cardiology) | Baycare Aurora, LLC | 5300 Memorial Dr, Two Rivers, WI 54241-3923 |
| Yaw D Berko | Hospitalist | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| Heather M Stefaniak | Urology | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| Darren M Heesacker | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Edward C Vogel | Emergency Medicine | Baycare Aurora, LLC | 2253 W Mason St, Green Bay, WI 54303-4706 |
| Suraj Arora | Internal Medicine | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| Jay M Salmon | Internal Medicine | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| James L Napier Jr. | Neurology | Baycare Aurora, LLC | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 |
| Street Address |
1136 WESTOWNE DR |
| City | NEENAH |
| State | WI |
| Zip | 54956-2175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Alan | Clinical Social Worker | Aurora Medical Group Inc | 1136 Westowne Dr, Neenah, WI 54956-2175 |
| Noreen Ellen Rose | Nurse Practitioner | Aurora Medical Group Inc | 1136 Westowne Dr, Neenah, WI 54956-2175 |
| Rebecca L Rennert | Nurse Practitioner | Aurora Medical Group Inc | 1136 Westowne Dr, Neenah, WI 54956-2175 |
| Ravneet K Kaleka | Internal Medicine | Aurora Medical Group Inc | 1136 Westowne Dr, Neenah, WI 54956-2175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Brian T Bolinger | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 740 Deerwood Ave, Neenah, WI 54956-1601 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | NEENAH + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Peter R Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.