JOHNSON MEDICAL CLINIC – NPI #1962623280
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

JOHNSON MEDICAL CLINIC is a provider located in ALGOMA, WI. NPPES has assigned the NPI number 1962623280 to JOHNSON MEDICAL CLINIC on May 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNSON MEDICAL CLINIC below.

NPI Profile for
JOHNSON MEDICAL CLINIC

NPI Number
1962623280
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNSON MEDICAL CLINIC
Primary location
N8434 COUNTY RD S
ALGOMA, WI 54201-9515
Phone: (920) 487-5635 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARLA JOHNSON
OWNER AND SOLE PHYSICIAN
Phone: (920) 487-5635
Updated
Identifiers

Identifiers for JOHNSON MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherWISCONSIN CORPORATE NUMBEWIHO35675
medicaidWI30094500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.