Dale A Johnson (NPI# 1447211404, PAC ID# 7315008547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447211404 |
| PAC ID by PECOS | 7315008547 |
| Professional Enrollment ID | I20081206000090 |
| Full Name | Dale A Johnson |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Address |
1185 Corporate Ctr Dr Suite 175 Oconomowoc WI 53066-4889 |
| Phone Number | 2629288400 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476465188 |
| Number of Group Practice Members | 370 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| 520062 | OCONOMOWOC MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 | 2629288400 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| 109 Air Park Dr, Watertown, WI 53094-7400 | 2629285100 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Physicians | 375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Scott | Nurse Practitioner | Prohealth Care Medical Associates Inc | 721 American Ave, Suite 310, Waukesha, WI 53188-5071 |
| Laurel Evans | Nurse Practitioner | Prohealth Care Medical Associates Inc | 2301 Sun Valley Dr, Delafield, WI 53018-2318 |
| Matthew Klein | Physical Therapy | Prohealth Care Medical Associates Inc | 17280 W N Ave, Suite 104, Brookfield, WI 53045-4366 |
| Kristen Fox | Family Medicine | Prohealth Care Medical Associates Inc | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 |
| Dayken Underdahl | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Savannah N Shores | Nurse Practitioner | Prohealth Care Medical Associates Inc | N16 W24131 Riverwood Dr, Waukesha, WI 53188-1177 |
| Crystal J Platz | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Jacqueline M Radaj | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Lisa Drew | Nurse Practitioner | Prohealth Care Medical Associates Inc | 13750 W National Ave, New Berlin, WI 53151-4588 |
| Alyssa N Zielke | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Street Address |
1185 CORPORATE CTR DR SUITE 175 |
| City | OCONOMOWOC |
| State | WI |
| Zip | 53066-4889 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian P Butler | Urology | Urology Associates Ltd Sc | 1185 Corporate Ctr Dr, Suite 100, Oconomowoc, WI 53066-4887 |
| James T Kwiatt | Gastroenterology | Gi Associates LLC | 1185 Corporate Ctr Dr, Suite 125, Oconomowoc, WI 53066-4890 |
| Molly Mayer | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 320, Oconomowoc, WI 53066-4887 |
| Jon J Auger | Urology | Urology Associates Ltd Sc | 1185 Corporate Ctr Dr, Suite 100, Oconomowoc, WI 53066-4887 |
| Kristen A Vento | Family Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Emily R. Allred | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Services Sc | 1185 Corporate Ctr Dr, Suite 125, Oconomowoc, WI 53066-4890 |
| Chelsea Swanson | Physical Therapy | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Dawn M Pierson | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Ctr Dr, Suite 175, Oconomowoc, WI 53066-4889 |
| Rajesh Santharam | Gastroenterology | Gi Associates LLC | 1185 Corporate Ctr Dr, Suite 120, Oconomowoc, WI 53066-4888 |
| James M Powell | Chiropractic | 1185 Corporate Ctr Dr, Suite 160, Oconomowoc, WI 53066-4845 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara R Kalush | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Donna M Voigt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Anne K Wick | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| David D Schlomer | Internal Medicine | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bobbiejo Paul | Nurse Practitioner | Prohealth Care Medical Associates Inc | 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066 |
| Bradley Steven Schuster | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| David M Bjork | Optometry | Oconomowoc Vision Clinic, LLC | 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399 |
| Nathan James Omick | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Michael Ray Traub | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Karen Ihry Gould | Chiropractic | Michael R Traub D.c. Ltd | N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185 |
| Find all physicians in zip 53066 | |||
| City | OCONOMOWOC |
| Zip Code | 53066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OCONOMOWOC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dale A 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.