Active NPI
John M Bohn, M.D.
- Pediatrics Physician
- Columbus, WI
National Provider Identifier
1346776523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26753
- Practice address
- 1511 Park Ave
Columbus, WI 53925-2401 - Phone
- (920) 623-3040
- Fax
- (920) 623-2244
- NPI assigned
- May 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26753 | WI | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 26753 | WI |
Addresses
Primary practice location
1511 Park Ave
Columbus, WI 53925-2401
Mailing address
1511 Park Ave
Columbus, WI 53925-2401
Phone (920) 623-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26753 | WI | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494115200000",
"number": "1346776523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539252401",
"telephone_number": "920-623-3040",
"fax_number": "920-623-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539252401",
"telephone_number": "920-623-3040",
"fax_number": "920-623-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "JOHN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-07",
"last_updated": "2017-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "26753",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WI",
"license": "26753",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.