Prairie Clinic, SC
NPI 1215349196ActiveOrganization· Physician Assistant, Medical· Sauk City, WI
Physician Assistant, Medical in Sauk City, Wisconsin, registered in NPPES in May 2014. The authorized official on file is Steven J. Johnson, M.D., Medical Doctor.
Overview
| NPI | 1215349196 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2014 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant, Medical providers in Sauk City
- 1245631514
- 1023320934