GWEN A JOHNSON MD
NPI 1417989559
Family Medicine in Hubertus, WI

Active since July 07, 2006
3055 HUBERTUS RD, HUBERTUS, WI 53033(262) 628-9000(262) 628-7255 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwen A Johnson Md NPPES

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

GWEN A JOHNSON MD (NPI 1417989559) is an individual family medicine provider in Hubertus, Wisconsin, licensed in Wisconsin (30420) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417989559
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGWEN A JOHNSONCredential: MD
Location Address3055 HUBERTUS RDHubertus, WI 53033
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209 · (414) 352-3100
Fax(262) 628-7255
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
NPI 1417989559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 30420
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3055 HUBERTUS RD, Hubertus, WI 53033

Other Identifiers 2

Medicaid31555100WI
OtherP00836847WI · Rr Medicare

Other Providers at the Same Location NPPES 6

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

Durable Medical Equipment & Medical Supplies
3055 HUBERTUS RD
HUBERTUS, WI 53033
Durable Medical Equipment & Medical Supplies
3055 HUBERTUS RD
HUBERTUS, WI 53033
Family Medicine
3055 HUBERTUS RD
HUBERTUS, WI 53033
Family Medicine
3055 HUBERTUS RD
HUBERTUS, WI 53033
Clinical Medical Laboratory
3055 HUBERTUS RD
HUBERTUS, WI 53033
Family Medicine
3055 HUBERTUS RD
HUBERTUS, WI 53033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Johnson's NPI number?

The NPI number for Gwen Johnson is 1417989559. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Gwen Johnson located?

Gwen Johnson practices at 3055 Hubertus Rd, Hubertus, WI 53033. The listed phone number is (262) 628-9000.

What is Gwen Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gwen Johnson was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.