Anthony T Johnson (NPI# 1912918772, PAC ID# 1052217932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912918772 |
| PAC ID by PECOS | 1052217932 |
| Professional Enrollment ID | I20031210001117 |
| Full Name | Anthony T Johnson |
| Organization Legal Name | SANFORD BISMARCK |
| Address |
102 Mandan Ave Mandan ND 58554-3771 |
| Phone Number | 7016675000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739098575 |
| Number of Group Practice Members | 362 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350015 | SANFORD MEDICAL CENTER BISMARCK |
| Address | Phone | Organization |
|---|---|---|
| 102 Mandan Ave, Mandan, ND 58554-3771 | 7016675000 | SANFORD BISMARCK |
| Organization Legal Name | SANFORD BISMARCK |
| Physicians | 373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant Andreas Fairbanks | Plastic and Reconstructive Surgery | Sanford Bismarck | 222 N 7th St, Bismarck, ND 58501-4436 |
| Abby R Renner | Nurse Practitioner | Sanford Bismarck | 414 N 7th St, Bismarck, ND 58501-4423 |
| Abby L Harris | Family Medicine | Sanford Bismarck | 801 21st Ave Se, Minot, ND 58701-6064 |
| Megan M Gietzen | Nurse Practitioner | Sanford Bismarck | 33 9th St W, Dickinson, ND 58601-3950 |
| Robert B Canham | Orthopedic Surgery | Sanford Bismarck | 209 N 7th St, Bismarck, ND 58501-4441 |
| Connie Kadrmas | Nurse Practitioner | Sanford Bismarck | 515 E Broadway Ave, Sanford 5th and Broadway Clinic, Bismark, ND 58801-4407 |
| Meghan K Hendrickson | Family Medicine | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Sadaf Yousuf | Family Medicine | Sanford Bismarck | 910 18th St Nw, Mandan, ND 58554-1612 |
| Erica A Wald | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Andrew J Miller | Diagnostic Radiology | Sanford Bismarck | 765 W Interstate Ave, Bismarck, ND 58503-0936 |
| Street Address |
102 MANDAN AVE |
| City | MANDAN |
| State | ND |
| Zip | 58554-3771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan K Hendrickson | Family Medicine | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Jenna C Scharmer | Nurse Practitioner | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Amanda Kouba | Clinical Social Worker | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany N Kudrna | Nurse Practitioner | St Alexius Medical Center | 2500 Sunset Dr, Mandan, ND 58554-1540 |
| Scot D Mickelson | Family Medicine | St Alexius Medical Center | 2500 Sunset Dr, Mandan, ND 58554-1540 |
| Sadaf Yousuf | Family Medicine | Sanford Bismarck | 910 18th St Nw, Mandan, ND 58554-1612 |
| Boyd F Addy | Family Medicine | Vibra Physicians LLC | 1000 18th St Nw 2nd and 3rd Floors, Mandan, ND 58554-1612 |
| Brittany Gail Schauer | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Terry D Schmidt | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Daniel C Little | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Joshua S Carter | Chiropractic | Carter Chiropractic PC | 408 1st St Nw A, Carter Chiropractic, Mandan, ND 58554-3118 |
| Chris A Gietzen | Physical Therapy | Dakota Physical Therapy PC | 606 1st St Nw, Mandan, ND 58554-3121 |
| Francisco Tello | Podiatry | 606 1st St Nw, Mandan, ND 58554-3121 | |
| Find all physicians in zip 58554 | |||
| City | MANDAN |
| Zip Code | 58554 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANDAN + FAMILY MEDICINE |
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| 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.