Individual provider Active NPI

Jamie S Johnson, DO

  • Emergency Medicine Physician
  • Rhinelander, WI
National Provider Identifier
1861577355
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101022166 Issued in MI
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone
(715) 361-2000
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101022166 MI Primary

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-6710

Mailing address

1131 State Highway M73
Iron River, MI 49935-9247
Phone (906) 361-1071

Other practice location 1

1131 State Highway M73
Iron River, MI 49935-9247
Phone (906) 361-1071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000195 MI Practitioner - Emergency Medicine 3779721899 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Acquisition Bell Hospital LLC CurrentSince Dec 1, 2016 Accepting new patients
Baraga County Memorial Hospital Emergency Medicine CurrentSince Jul 5, 2017 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Oct 3, 2016 Accepting new patients
Portage Physician Practices Inc Emergency Medicine CurrentSince May 10, 2017 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Dec 1, 2016 Accepting new patients
Relymd Virtual Health Ga, LLC Emergency Medicine CurrentSince May 22, 2024 Accepting new patients
Baraga County Memorial Hospital CurrentSince Jul 5, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Oct 3, 2016 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Portage Physician Practices Inc CurrentSince May 10, 2017 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1861577355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 STATE HIGHWAY M73",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359247",
            "telephone_number": "906-361-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 State Highway M73",
            "address_purpose": "LOCATION",
            "city": "Iron River",
            "state": "MI",
            "postal_code": "499359247",
            "country_code": "US",
            "telephone_number": "906-361-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMIE",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101022166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.