TIMOTHY P JOHNSON CRNA
NPI 1154686384
Nurse Anesthetist, Certified Registered in Wausau, WI

Active since July 13, 2012
425 PINE RIDGE BLVD, STE 211, WAUSAU, WI 54401(715) 845-5505(715) 848-2884 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy P Johnson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY P JOHNSON CRNA (NPI 1154686384) is an individual nurse anesthetist, certified registered in Wausau, Wisconsin, licensed in Wisconsin (15381930) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1154686384
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY P JOHNSONCredential: CRNA
Location Address425 PINE RIDGE BLVD, STE 211Wausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd, Ste 211Wausau, WI 54401-4123 · (715) 845-5505 · Fax (715) 848-2884
Fax(715) 848-2884
Sole ProprietorNo
Enumeration DateJuly 13, 2012
NPI 1154686384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in WI · 15381930
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

425 PINE RIDGE BLVD, Wausau, WI 54401

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
425 PINE RIDGE BLVD, SUITE 205
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Internal Medicine (Critical Care Medicine)
425 PINE RIDGE BLVD, SUITE 220
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Anesthesiology
425 PINE RIDGE BLVD
WAUSAU, WI 54401
Anesthesiology
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 PINE RIDGE BLVD, SUITE 209
WAUSAU, WI 54401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
425 PINE RIDGE BLVD, SUITE 209
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154686384, enumerated as an "individual" on July 13, 2012.

The provider is located at 425 PINE RIDGE BLVD STE 211 WAUSAU, WI 54401 and the phone number is (715) 845-5505.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.