Johnson Medical Clinic
Organization Active NPI Adult Medicine Physician · Algoma, WI
NPI 1962623280 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1962623280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- Legal business name
- JOHNSON MEDICAL CLINIC
- Practice address
- N8434 County Rd S
Algoma, WI 54201-9515 - Phone
- (920) 487-5635
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carla A Johnson, DO
- Title
- Owner and Sole Physician
- Phone
- (920) 487-5635
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | Yes |
Addresses
Primary practice location
N8434 County Rd S
Algoma, WI 54201-9515
Mailing address
N8434 County Rd S
Algoma, WI 54201-9515
Phone (920) 487-5635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HO35675 | Other | WI | WISCONSIN CORPORATE NUMBE |
| 30094500 | Medicaid | WI |
Other providers in Algoma, WI
- Fremont SNF Opco LLC
- John Edward Gorz
- Michael John Gorz
- Brian William Hansen
- Nathan C Hayes
- Jacqueline Marie Joski
- Morgen Kleiman
- Ellen Knipfer
- Christopher John Konop
- Lakeshore Vision Centers, LTD
All providers in Algoma, WI · Adult Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.