Johnny Otis Johnson (NPI# 1538234554, PAC ID# 0749297299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1538234554 |
| PAC ID by PECOS | 0749297299 |
| Professional Enrollment ID | I20090114000040 |
| Full Name | Johnny Otis Johnson |
| Organization Legal Name | LI-SI-WI-NWI HEALTH, INC |
| Address |
15951 Little Axe Dr Norman OK 73026-9088 |
| Phone Number | 4054470300 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4183895519 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370180 | CHICKASAW NATION MEDICAL CENTER |
| 370008 | NORMAN REGIONAL |
| Address | Phone | Organization |
|---|---|---|
| 15951 Little Axe Dr, Norman, OK 73026-9088 | 4054470300 | LI-SI-WI-NWI HEALTH, INC |
| Organization Legal Name | LI-SI-WI-NWI HEALTH, INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Reeves | Nephrology | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Matthew J Jones | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Archana Gautam | Cardiovascular Disease (cardiology) | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Victoria J Salamy-sullins | Physician Assistant | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Monika K Durska-keller | Family Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Robert E Peevy | Physician Assistant | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Raphael C Francisco | Endocrinology | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Robert White Jr. | Internal Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Jeremy D King | Optometry | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Elizabeth Jane Saladin | Family Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Street Address |
15951 LITTLE AXE DR |
| City | NORMAN |
| State | OK |
| Zip | 73026-9088 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick B Reeves | Nephrology | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Archana Gautam | Cardiovascular Disease (cardiology) | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Victoria J Salamy-sullins | Physician Assistant | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Robert E Peevy | Physician Assistant | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Raphael C Francisco | Endocrinology | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Gregory Tyler Reading | Chiropractic | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Kela G Lindsey | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Kristin Wahpepah | Physical Therapy | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Lila V Nevrekar | Obstetrics/gynecology | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Jamilet Gonzalez | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15951 Little Axe Dr, Norman, OK 73026-9088 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Jones | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Monika K Durska-keller | Family Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Robert White Jr. | Internal Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Jeremy D King | Optometry | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Elizabeth Jane Saladin | Family Medicine | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Fred K Lee | Optometry | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Susan Michelle Feeley | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Jennifer L Enoch | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Mollie Dilbeck | Nurse Practitioner | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Andrea Michelle Blank | Clinical Social Worker | Li-si-wi-nwi Health, Inc | 15702 E Hwy 9, Norman, OK 73026 |
| Find all physicians in zip 73026 | |||
| City | NORMAN |
| Zip Code | 73026 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORMAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Johnny Otis Johnson.
| 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.