Ronald Johnson


Address: 1665 Briargate Blvd, Suite 200, Colorado Springs, CO 80920-3400

Ronald Johnson (NPI# 1487759254, PAC ID# 0143300996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1487759254
PAC ID by PECOS 0143300996
Professional Enrollment ID I20080107000003
Full Name Ronald Johnson
Address 1665 Briargate Blvd
Suite 200
Colorado Springs
CO 80920-3400
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1978
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060031 CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES

Other Locations

Address Phone Organization
1665 Briargate Blvd, Suite 200, Colorado Springs, CO 80920-3400

Organization Information

Office Location

Street Address 1665 BRIARGATE BLVD
SUITE 200
City COLORADO SPRINGS
State CO
Zip 80920-3400

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Susan M Heffley Family Medicine Davita Medical Group Colorado Springs, LLC 2405 Research Pkwy, Colorado Springs, CO 80920-1044
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Competitor

Search similar physicians

City COLORADO SPRINGS
Zip Code 80920
Specialty DERMATOLOGY
City + Specialty COLORADO SPRINGS + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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