Johnathon D Justice (NPI# 1437419801, PAC ID# 9931331600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437419801 |
| PAC ID by PECOS | 9931331600 |
| Professional Enrollment ID | I20150716001280 |
| Full Name | Johnathon D Justice |
| Organization Legal Name | ASCENSION OUR LADY OF VICTORY HOSPITAL INC |
| Address |
1120 Pine St Stanley WI 54768-1297 |
| Phone Number | 7156445530 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325957095 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521311 | OUR LADY OF VICTORY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1120 Pine St, Stanley, WI 54768-1297 | 7156445530 | ASCENSION OUR LADY OF VICTORY HOSPITAL INC |
| Organization Legal Name | ASCENSION OUR LADY OF VICTORY HOSPITAL INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda L Krumenauer | Nurse Practitioner | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Joseph L Elsner | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Gail T Wagner | Nurse Practitioner | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Peter P Gintner | Physician Assistant | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Steven S Santos | Certified Registered Nurse Anesthetist (crna) | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Lacmbouh Ade | Family Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Daniel Gilles | Physician Assistant | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Mohammed M Dodwad | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Larry R Brunzlick | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Joel S Stoeckeler | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Street Address |
1120 PINE ST |
| City | STANLEY |
| State | WI |
| Zip | 54768-1297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda L Krumenauer | Nurse Practitioner | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Joseph L Elsner | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Gail T Wagner | Nurse Practitioner | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Peter P Gintner | Physician Assistant | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Steven S Santos | Certified Registered Nurse Anesthetist (crna) | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Lacmbouh Ade | Family Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Daniel Gilles | Physician Assistant | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Mohammed M Dodwad | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Larry R Brunzlick | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Joel S Stoeckeler | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Robert Haas | Chiropractic | Optum Health Chiropractic LLC | 123 N Broadway St, Stanley, WI 54768-1005 |
| Jennifer A Haas | Chiropractic | Optum Health Chiropractic LLC | 123 N Broadway St, Stanley, WI 54768-1005 |
| Marek Kaminski | Emergency Medicine | Ascension Our Lady of Victory Hospital Inc | 1120 Pine St, Stanley, WI 54768-1297 |
| Todd R Ponick | Chiropractic | 9520 County Hwy H, Stanley, WI 54768-6033 |
| City | STANLEY |
| Zip Code | 54768 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STANLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Johnathon D Justice.
| 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.