SCOTT JOHNSON
Thoracic Surgery (Cardiothoracic Vascular Surgery)

Address: 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215-3660

SCOTT JOHNSON (NPI# 1821438375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821438375
Entity Type Individual
Full Name DR. SCOTT JOHNSON
Gender Male
Credential M.D.
Practice Address 2901 W Kinnickinnic River Pkwy Ste 507
Milwaukee
WI 53215-3660
Practice Telephone 4146493780
Mailing Address 2901 W Kinnickinnic River Pkwy Ste 507
Milwaukee
WI 53215-3660
Mailing Telephone 4146493780
Enumeration Date 2013-06-28
Last Update Date 2019-07-16
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 71424 WI Allopathic & Osteopathic Physicians

Physician Overview

PECOS Associate Control (PAC) ID 2062634835
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20190723000402
Last Name JOHNSON
First Name SCOTT
Organization Legal Name AURORA MEDICAL GROUP, INC.
Location 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3677
Phone Number 4146493990
Medical School LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty CARDIAC SURGERY
Secondary Specialties THORACIC SURGERY
Group Practice PAC ID 6709794258
Number of Group Practice Members 2700

Office Location

Street Address 2901 W KINNICKINNIC RIVER PKWY STE 507
City MILWAUKEE
State WI
Zip Code 53215-3660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073891149 Charnai Dawn Sherry · Charnai Dawn Fankhanel Physician Assistant 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 2011-07-23
1538714316 Brianne K Gebhardt Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215-3660 2019-08-07
1104488360 Megan Daton Nurse Practitioner · Family 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215-3660 2019-07-08
1811259047 Elizabeth Margaret Colwell Thoracic Surgery (Cardiothoracic Vascular Surgery) 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 2012-06-13
1982920344 William J Fischer IIi · Will Fischer Thoracic Surgery (Cardiothoracic Vascular Surgery) 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 2010-04-09
1619153384 Jackie Julie Budynek Registered Nurse 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215-3660 2008-01-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003403791 Justin Michael Cole Anesthesiologist Assistant 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215-3660 2020-12-29
1023632155 Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies 2901 W Kinnickinnic River Pkwy Ste 102, Milwaukee, WI 53215-3660 2020-06-04
1245892124 Emily Mason · Emily Ann Byczynski Physician Assistant 2901 W Kk River Pkwy Ste 507, Milwaukee, WI 53215-3660 2019-07-01
1134618903 Kathleen H Elverman Clinical Neuropsychologist 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 2018-05-07
1114449949 Tobias D Kaemmerer Clinical Neuropsychologist 2901 W Kinnickinnic River Pkwy Ste 417, Milwaukee, WI 53215-3660 2017-07-13
1265887038 Ariella M Danowski · Ariella M Gilerovich Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 414, Milwaukee, WI 53215-3660 2016-04-29
1578856225 Parkway Dental, S.c. Dentist · General Practice 2901 W Kinnickinnic River Pkwy Ste 104, Milwaukee, WI 53215-3660 2011-05-26
1174825772 Kristin Weitmann Nurse Practitioner · Acute Care 2901 W Kinnickinnic River Pkwy Ste 511, Milwaukee, WI 53215-3660 2010-12-02
1801124904 Jennifer Ottelien Nurse Practitioner · Acute Care 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 2009-12-01
1861685539 Courtney A. Hlavinka · Courtney A. Barutha Nurse Practitioner 2901 W. Kk River Pkwy, Suite 305, Milwaukee, WI 53215-3660 2007-08-24
Find all providers in zip 53215-3660

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1184101586 Luis-Alejandro Roldan Nurse Practitioner 2801 W Kinnickinnic River Pkwy Ste 170, Milwaukee, WI 53215 2018-07-27
1073018347 Leart Neziri Student in an Organized Health Care Education/Training Program 2801 W Kinnickinnic River Pkwy Ste 250, Milwaukee, WI 53215 2018-03-28
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor · Mental Health 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall · Nicole Boedeker Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
Find all providers in zip 53215

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205890647 John F Just 3333 N Mayfair Rd, Suite 209, Milwaukee, WI 53222-3219 2006-04-13
1003881129 Robert P Mc Manus 2315 N Lake Drive, # 703, Milwaukee, WI 53211 2006-02-22
1306445952 Elyan Carolina Ruiz Solano 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2020-10-23
1508312570 Azh Vascular Center Mke LLC 2500 W Layton Ave, Suite 40, Milwaukee, WI 53221-5420 2016-08-30
1043667942 Viktor Hraska 9200 W Wisconsin Ave, Suite 3510, Milwaukee, WI 53226-3522 2016-05-20
1508295841 Chris K Rokkas 9200 W Wisconsin Ave, Suite 3510, Milwaukee, WI 53226-3522 2013-11-07
1811259047 Elizabeth Margaret Colwell 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 2012-06-13
1619243813 William Sheehan Ragalie 2301 N Lake Dr, Milwaukee, WI 53211-4508 2012-04-01
1558647677 Ahmed Khalafalla Yassin Ali 9200 W Wisconsin Ave, Cardiothoracic Surgery, Milwaukee, WI 53226-3522 2011-11-02
1982920344 William J Fischer IIi · Will Fischer 2901 W Kinnickinnic River Pkwy Ste 507, Milwaukee, WI 53215 2010-04-09
Find all providers in MILWAUKEE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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