Victor Adegoke Johnson

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

41451800 Issued in WI

Practice address

8220 W Lynmar Ter
Milwaukee, WI 53222-1937

Phone

(414) 460-6734

Fax

(414) 616-3344

NPI assigned

Dec 26, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1649454786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 W LYNMAR TER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221937",
            "telephone_number": "414-460-6734",
            "fax_number": "414-616-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 W LYNMAR TER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221937",
            "telephone_number": "414-460-6734",
            "fax_number": "414-616-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTOR",
        "middle_name": "ADEGOKE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "WI",
            "license": "41451800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41451800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudie N Johnson, NP
• Tyler Monroe Johnson, DO
• Tyonna Johnson
• Tyrone Johnson
• Vanessa Denise Johnson, RN, CLS, DOULA
• Wyatt Richard Johnson, LMT
• Yun Johnson
• Zhaneane Johnson
• Daniel O Johnsrud, MD
• Alexander Jordon Johnston, MD

• Secured Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Secured Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.