| Dr Scott B Johnson, MD | |
|
855 N Westhaven Dr, Oshkosh, WI 54904 | |
| (920) 303-8700 | |
| (920) 303-4129 |
| Full Name | Dr Scott B Johnson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215045836 | NPI | - | NPPES |
| 32621200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 40162 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott B Johnson, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Scott B Johnson, MD 855 N Westhaven Dr, Oshkosh, WI 54904 Ph: (920) 303-8700 |
Dr. Karolina Stack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 W 9th Ave Ste 211, Oshkosh, WI 54904 Phone: 920-223-8000 | |
Dr. Deborah M Hermes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Susan M Szabo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7200 | |
Dr. Jean Ruth Thur, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-5831 | |
Dr. Vee Ly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632 | |
Rebecca L Waldman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-727-9982 |