James Herschel Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52171 Issued in WI

Practice address

333 Pine Ridge Blvd
Wausau, WI 54401-4120

Phone

(715) 847-2121

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1386141927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CRESWELL ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037746",
            "telephone_number": "912-278-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014120",
            "telephone_number": "715-847-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "HERSCHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT CARE",
            "identifier": "52171",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Johns, RN
• Christine M Johnsen, MS, APNP, ANP-BC
• Aaron R Johnson, DC
• Alayna Johnson, MD
• Eric A. Johnson, M.D.
• Kristen Kathryn Johnson, LPC
• Laurie Johnson
• Madeline Johnson, OTR
• Nikolene Johnson
• Sara Johnson, MD

• Family Medicine Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.