Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013216308 Individual Practitioner Female Practitioner

Dr. Colleen Maroney Johnson , MD

Pediatrics • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Dr. Colleen Johnson, MD is a registered healthcare professional specializing in Pediatrics in Kenosha, WI. Practice services are available at 8600 75TH ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8600 75th St Ste 101

Kenosha, WI 531428200

Telephone 2626529430
Fax 2626529433
Associated Practice Facility / Clinic
🏢 Children's Medical Group Facility NPI 1427223783

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Kenosha, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 60072-20

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013216308 (WI)

Secondary Practice Locations

5433 W Fond Du Lac Ave

Milwaukee, WI 532161382

Phone: 4142778900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Manar Mohammad

Pediatrics

NPI 1053990416
Pollyanna Kabara , PA-C

Physician Assistant

NPI 1134173479

Physician Assistant (Certified)

NPI 1174527550

Doctor of Medicine (M.D.)

Shae Olsen , LCSW

Social Worker - Clinical

NPI 1285336073

Licensed Clinical Social Worker

NPI 1356722961

Doctor of Osteopathic Medicine (D.O.)

NPI 1619962982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 20, 2022

Registered at 8600 75TH ST STE 101, KENOSHA, WI 531428200 (Tel: 2626529430)

👤
Provider Name / Credentials Updated May 08, 2019

Recorded as COLLEEN JOHNSON, M.D.

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2016

Registered at 5433 W FOND DU LAC AVE, MILWAUKEE, WI 532161382 (Tel: 4142778900)

📍
Updated Business Mailing Address July 15, 2016

Registered at 9000 W WISCONSIN AVE, MAIL STATION 958, MILWAUKEE, WI 532264874 (Tel: 4142667615)

👤
Provider Name / Credentials Updated July 15, 2016

Recorded as COLLEEN MARONEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Pediatrics (License #60072-20 in WI)

🟢
Initial NPI Registration & Enumeration March 25, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013216308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2011
Last Update: April 20, 2022
Sole Proprietor: No

Mailing Address

9000 W Wisconsin Ave, Mail Station 958

Milwaukee, WI 532264874

Phone: 4142667615

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.